DR. Kenneth M Bosacco, DDS
NPI #1962551507 in Chester, Pennsylvania
Provider Information
- NPI Number
- 1962551507
- Entity Type
- Individual
- Name
- DR. Kenneth M Bosacco, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 616 AVENUE OF THE STATES
- City
- Chester
- State
- Pennsylvania
- ZIP Code
- 19013-4215
- Phone
- (610) 874-4316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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