Individual
BRYN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 3RD AVE S, PARK FALLS, WI 54552-1228
(715) 762-2188
Mailing address
PO BOX 10, PHILLIPS, WI 54555-0010
(715) 339-3021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001637
WI
Other
Enumeration date
07/23/2017
Last updated
03/17/2018
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