Individual
DR. BERNARD J BOESELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6262 MONTGOMERY, SAN ANTONIO, TX 78239-3237
(210) 656-1388
Mailing address
6262 MONTGOMERY DR., SAN ANTONIO, TX 78239
(210) 656-1388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11011
TX
Other
Enumeration date
08/22/2006
Last updated
07/21/2022
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