DR. Andrew Jon Bosworth, D.D.S.

NPI #1962850784 in Excelsior, Minnesota

Provider Information

NPI Number: 1962850784
Entity Type: Individual
Name: DR. Andrew Jon Bosworth, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 2, 2016
Last Updated: Jun 2, 2016

Practice Location

Address: 6140 LAKE LINDEN DR
Address 2: SUITE #230
City: Excelsior
State: Minnesota
ZIP Code: 55331-2954
Phone: (952) 474-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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