Organization
BOSWELL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAMER L. BOSWELL D.D.S., P.C. (DR.)
(276) 628-1327
Entity
Organization
Contact information
Practice address
110 DEADMORE ST NE, ABINGDON, VA 24210-3406
(276) 628-1327
(276) 628-3936
Mailing address
110 DEADMORE ST NE, P.O. BOX 1343, ABINGDON, VA 24210-3406
(276) 628-1327
(276) 628-3936
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
004377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007900244
—
VA
Enumeration date
03/13/2008
Last updated
03/13/2008
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