Individual
DR. ISAAC J BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
191 ALBANY TPKE, CANTON, CT 06019-2554
(860) 693-0887
Mailing address
9 GRAND AVE, GREENFIELD, MA 01301-3904
(413) 325-3958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13200362
CT
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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