New Creation Center for Dental Sleep Medicine LLC
NPI #1972963460 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1972963460
- Entity Type
- Organization
- Organization Name
- New Creation Center for Dental Sleep Medicine LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 26, 2016
- Last Updated
- Jul 22, 2016
Practice Location
- Address
- 15 LAKESIDE DR STE A
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-1378
- Phone
- (636) 625-1225
Authorized Official
- Name
- DR. MATTHEW BOSCIA, D.M.D
- Title
- DENTIST
- Phone
- (636) 625-1225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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