# BOSWELL DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477705119
- **Authorized official:** DR. JOHN WILLIAM MILLER DDS (PRESIDENT)
- **Authorized official phone:** (814) 629-5603

## Contact information

- **Practice address:** 403 MAIN ST, BOSWELL, PA 15531-1116
- **Practice address phone:** (814) 629-5603
- **Mailing address:** 403 MAIN ST, BOSWELL, PA 15531-1116
- **Mailing address phone:** (814) 629-5603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS027489L | PA | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 10/14/2008