JODY BOSEMAN

SALT LAKE CITY, UT
NPI1285032011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  142399)
Enumeration Date2014-12-10
Last Update Date2020-07-01
Business Address
Dr. JODY BOSEMAN DDS
4698 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84117-5265
Phone number: 801-278-0840
Mailing Address
Dr. JODY BOSEMAN DDS
4698 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84117-5265
Phone number: 801-278-0840