Organization
JODY D. BOSEMAN, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY D BOSEMAN DDS (DENTIST, OWNER)
(801) 277-0778
Entity
Organization
Contact information
Practice address
4190 SOUTH HIGHLAND DR, STE 106, SALT LAKE CITY, UT 84124-2600
(801) 277-0778
(801) 278-8414
Mailing address
4190 SOUTH HIGHLAND DR, STE 106, SALT LAKE CITY, UT 84124-2600
(801) 277-0778
(801) 278-8414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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