Boss Dental

NPI #1982843785 in Brooklyn, New York

Provider Information

NPI Number: 1982843785
Entity Type: Organization
Organization Name: Boss Dental
Primary Specialty: Dentist
Enumeration Date: Feb 18, 2009
Last Updated: Feb 18, 2009

Practice Location

Address: 821 57TH STREET, 1ST FL
City: Brooklyn
State: New York
ZIP Code: 11220-3645
Phone: (718) 686-0313

Authorized Official

Name: ANGELA LO
Title: MANAGER
Phone: (718) 886-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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