Kellen and Ramona Bosma Dmd PC

NPI #1932585528 in Sycamore, Illinois

Provider Information

NPI Number
1932585528
Entity Type
Organization
Organization Name
Kellen and Ramona Bosma Dmd PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 5, 2015
Last Updated
Aug 5, 2015

Practice Location

Address
2600 DEKALB AVE
Address 2
SUITE D
ZIP Code
60178-3131
Phone
(815) 758-5045

Authorized Official

Name
DR. KELLEN BOSMA, D.M.D.
Title
PRESIDENT
Phone
(815) 758-5045

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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