Daniel A. Boston Dds, PC

NPI #1851500888 in Logan, Utah

Provider Information

NPI Number: 1851500888
Entity Type: Organization
Organization Name: Daniel A. Boston Dds, PC
Primary Specialty: Dentist
Enumeration Date: May 22, 2007
Last Updated: Jul 15, 2008

Practice Location

Address: 1320 N 600 E
Address 2: SUITE 1
City: Logan
State: Utah
ZIP Code: 84341-2431
Phone: (435) 752-3343

Authorized Official

Name: DR. DANIEL AGEE BOSTON, DDS
Title: OWNER
Phone: (435) 752-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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