Individual
DR. JOHN HERBERT BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 RIVER PLACE, LOWELL, MA 01852-1091
(978) 458-1114
(978) 458-8910
Mailing address
1 RIVER PLACE, LOWELL, MA 01852-1091
(978) 458-1114
(978) 458-8910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250813
—
MA
01
—
X05355
MA BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/12/2006
Last updated
07/08/2007
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