| NPI | 1265120828 |
|---|---|
| Doing Business As | BOSCOBEL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOEL LEDVINA Dentist 920-676-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |