Organization
BOSCH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY BOSCH DDS (OWNER/DENTIST)
(651) 336-7789
Entity
Organization
Contact information
Practice address
2680 SNELLING AVE N, ROSEVILLE, MN 55113-1876
(651) 488-5557
Mailing address
2680 SNELLING AVE N STE 280, ROSEVILLE, MN 55113-1877
(651) 488-5557
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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