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Individual
DR. STEPHEN BOSS
Active
Individual
DR. STEPHEN BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59624
NY
1223G0001X
General Practice Dentistry
DN 21678
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2014
Last updated
12/06/2019
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