Individual
JOEL GARCIA BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8441 HERITAGE GREEN WAY, BRADENTON, FL 34212-1400
(941) 741-8888
(941) 741-8903
Mailing address
6403 4TH ST E, BRADENTON, FL 34203-6001
(786) 499-1236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21673
FL
1223G0001X
General Practice Dentistry
DN21673
FL
Other
Enumeration date
07/09/2014
Last updated
06/19/2020
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