BOSTON DENTAL OF WI LLC

SHEBOYGAN, WI
NPI1730694225
Entity TypeOrganization
Authorized ContactBRIAN BOSTON
Owner
920-892-6961
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
BOSTON DENTAL OF WI LLC
3064 S BUSINESS DR
SHEBOYGAN, WI 53081-6522
Phone number: 920-892-6961
Mailing Address
BOSTON DENTAL OF WI LLC
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: