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1578512729
LAWRENCE DAVID BOSSONG
BRUNSWICK, ME
NPI
1578512729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ME 3441)
Enumeration Date
2006-05-08
Last Update Date
2007-07-08
Business Address
-- LAWRENCE DAVID BOSSONG DDS
80 BARIBEAU DR
BRUNSWICK, ME 04011-3218
Phone number: 207-729-0933
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Mailing Address
-- LAWRENCE DAVID BOSSONG DDS
80 BARIBEAU DR
BRUNSWICK, ME 04011-3218
Phone number: 207-729-0933
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