# DR. CHRIS BOSEOVSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508940107
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 56189 | CA | — |
| 122300000X | Dentist | D15051 | CA | — |
| 208D00000X | General Practice Physician | 0101276912 | VA | — |
| 208D00000X | General Practice Physician | 73063 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 10/29/2025