Individual
HARVEY BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3189 LEBANON PIKE, SUITE 10, NASHVILLE, TN 37214-2314
(615) 316-0701
Mailing address
2502 N ROCKY POINT DR, SUITE 1000-CREDENTIALING, TAMPA, FL 33607-1421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000005147
TN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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