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Organization
LISA M. BOSCH, DMD, LLC
Active
Organization
LISA M. BOSCH, DMD, LLC
Active
Other names
Knox County Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MICHELLE BOSCH DMD (OWNER/DENTIST)
(660) 397-2213
Entity
Organization
Contact information
Practice address
107 N MAIN ST, EDINA, MO 63537-1426
(660) 397-2213
Mailing address
107 N MAIN ST, EDINA, MO 63537-1426
(660) 397-2213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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