Individual
DR. JANE ELIZABETH BOESCHENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3040 PRAIRIE ST SW, GRANDVILLE, MI 49418-2046
(616) 532-3212
(616) 532-3193
Mailing address
PO BOX 6363, GRAND RAPIDS, MI 49516-6363
(616) 532-3212
(616) 532-3193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017729
MI
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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