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1285032011
JODY BOSEMAN
SALT LAKE CITY, UT
NPI
1285032011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 142399)
Enumeration Date
2014-12-10
Last Update Date
2020-07-01
Business Address
Dr. JODY BOSEMAN DDS
4698 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84117-5265
Phone number: 801-278-0840
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Mailing Address
Dr. JODY BOSEMAN DDS
4698 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84117-5265
Phone number: 801-278-0840
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