# RALPH R. BOZELL D.D.S. P.C.

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

## Provider details

- **NPI number:** 1790748762
- **Authorized official:** DR. RALPH RUNNELS BOZELL III D.D.S. (PRESIDENT)
- **Authorized official phone:** (734) 451-0995

## Contact information

- **Practice address:** 8550 N CANTON CENTER RD, CANTON, MI 48187-1310
- **Practice address phone:** (734) 451-0995
- **Practice address fax:** (734) 451-1878
- **Mailing address:** 8550 N CANTON CENTER RD, CANTON, MI 48187-1310
- **Mailing address phone:** (734) 451-0995
- **Mailing address fax:** (734) 451-1878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901010640 | MI | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020