Individual
DR. JONATHAN EDMUND BOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3415 ROGERS RD., SUITE 100, WAKE FOREST, NC 27587
(919) 554-9955
(919) 554-9933
Mailing address
8470 FALLS OF NEUSE RD., SUITE 202, RALEIGH, NC 27615
(919) 977-0627
(919) 977-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8432
NC
1223G0001X
General Practice Dentistry
Primary
8432
NC
Other
Enumeration date
07/06/2007
Last updated
01/07/2016
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