Boscobel Family Dental, LLC

NPI #1841746450 in Boscobel, Wisconsin

Provider Information

NPI Number: 1841746450
Entity Type: Organization
Organization Name: Boscobel Family Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 105 E. BLUFF STREET
City: Boscobel
State: Wisconsin
ZIP Code: 53805
Phone: (608) 375-4549

Authorized Official

Name: ANGELA K SALMON
Title: OFFICE MANAGER
Phone: (608) 647-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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