DR. Daniel Agee Boston, DDS

NPI #1841413630 in Logan, Utah

Provider Information

NPI Number
1841413630
Entity Type
Individual
Name
DR. Daniel Agee Boston, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1320 N 600 E
Address 2
SUITE #1
City
Logan
State
Utah
ZIP Code
84341-2431
Phone
(453) 752-3343

Specialties & Taxonomy Codes

Specialty
Dentist

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