Individual
DR. EDWARD CLARKE BOZEMAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2313 BLUECUTT RD, COLUMBUS, MS 39705-1305
(662) 328-8842
(662) 328-3862
Mailing address
PO BOX 8936, COLUMBUS, MS 39705-0036
(662) 328-8842
(662) 328-3862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1597-74
MS
Other
Enumeration date
11/26/2005
Last updated
07/08/2007
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