| NPI | 1740809003 |
|---|---|
| Doing Business As | BOSS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KENNETH HUNTER BOSS Owner 231-675-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |