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Organization
VERNON O BOSWELL DDS
Active
Organization
VERNON O BOSWELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON OLEN BOSWELL JR. DDS (OWNER DDS)
(979) 297-9333
Entity
Organization
Contact information
Practice address
115 NORTH DIXIE DRIVE, SUITE 410, LAKE JACKSON, TX 77566
(979) 297-9996
(979) 297-9996
Mailing address
115 NORTH DIXIE DRIVE, SUITE 410, LAKE JACKSON, TX 77566
(979) 297-9333
(979) 297-9996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10375
TX
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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