Organization
LEE R. BOESE, D.D.S., M.S.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE R. BOESE D.D.S., M.S.D. (OWNER)
(209) 723-3776
Entity
Organization
Contact information
Practice address
177 W EL PORTAL DR, MERCED, CA 95348-2833
(209) 723-3776
Mailing address
177 W EL PORTAL DR, MERCED, CA 95348-2833
(209) 723-3776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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