Organization
EARL BOSTICK,SR. D.M.D & ASSOC. P.A.
Active
Parent organization
DR. EARL BOSTICK,SR. D.M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. EARL BOSTICK,SR. D.M.D.
Authorized official
DR. EARL BOSTICK SR. D.M.D. (OWNER)
(843) 726-5711
Entity
Organization
Contact information
Practice address
102 SEA ISLAND PWKY, SUITE J, BEAUFORT, SC 29907
(843) 986-0157
Mailing address
PO BOX 2260, RIDGELAND, SC 29936-2638
(843) 726-5711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
06/17/2008
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