Organization
BOSS DENTAL
Active
Parent organization
BOSS DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOSS DENTAL
Authorized official
ANGELA LO (DENTIST)
(212) 274-8658
Entity
Organization
Contact information
Practice address
52 E BROADWAY, NEW YORK, NY 10002-6868
(212) 274-8658
(212) 274-8571
Mailing address
52 E BROADWAY, NEW YORK, NY 10002-6868
(212) 274-8658
(212) 274-8571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047068
NY
Other
Enumeration date
07/30/2006
Last updated
03/27/2013
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