# BOESKIN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENTAL CO. OF YUMA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326786203
- **Authorized official:** JASON BOESKIN DMD (DENTIST)
- **Authorized official phone:** (928) 782-4369

## Contact information

- **Practice address:** 240 E 24TH ST, YUMA, AZ 85364-8547
- **Practice address phone:** (928) 782-4369
- **Mailing address:** 240 E 24TH ST, YUMA, AZ 85364-8547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2022
- **Last updated:** 05/22/2022