KELLEN BOSMA

LITCHFIELD, IL
NPI1407288830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.029540)
Enumeration Date2013-08-08
Last Update Date2013-08-08
Business Address
-- KELLEN BOSMA D.M.D.
125 W COLUMBIAN BLVD S
LITCHFIELD, IL 62056-3021
Phone number: 217-324-2610
Mailing Address
-- KELLEN BOSMA D.M.D.
125 W COLUMBIAN BLVD S
LITCHFIELD, IL 62056-3021
Phone number: 217-324-2610