Individual
MR. BRAD MASON BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1800 BERING DR STE 650, HOUSTON, TX 77057-3170
(713) 784-2952
(713) 784-3331
Mailing address
3702 TARTAN LN, HOUSTON, TX 77025-2410
(713) 784-2952
(713) 184-3331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13841
TX
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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