Individual
DR. BRIAN SCOTT BOSONAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 BRICK BLVD, BRICK, NJ 08723-6009
(732) 920-0888
(732) 920-5344
Mailing address
515 BRICK BLVD, BRICK, NJ 08723-6009
(732) 920-0888
(732) 920-5344
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI 021354
NJ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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