Individual
DR. BOZHAO MEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6958 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473-1618
(573) 596-1475
Mailing address
1111 AUSTIN HWY APT 4301, SAN ANTONIO, TX 78209-4924
(949) 396-9844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36305
TX
Other
Enumeration date
07/20/2020
Last updated
02/21/2023
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