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Organization
JOHN E. BOSAK, JR., DMD, A PROFESSIONAL DENTAL CORPORATION
Active
Organization
JOHN E. BOSAK, JR., DMD, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EUGENE BOSAK JR. DMD (PRESIDENT)
(818) 368-5676
Entity
Organization
Contact information
Practice address
10727 WHITE OAK AVE, SUITE 213, GRANADA HILLS, CA 91344-4631
(818) 368-5676
Mailing address
10727 WHITE OAK AVE, SUITE 213, GRANADA HILLS, CA 91344-4631
(818) 368-5676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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