Individual
DR. COLIN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9119 W 74TH ST STE 210, SHAWNEE MISSION, KS 66204-2229
(913) 648-2266
(913) 768-1944
Mailing address
4980 NOTTINGHAM WAY, ANCHORAGE, AK 99503-6934
(641) 780-7792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61356
KS
1223P0221X
Pediatric Dentistry
Primary
61356
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2016
Last updated
07/21/2022
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