Individual
DR. BRIAN DANIEL BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10320 75TH ST STE A, KENOSHA, WI 53142-7525
(262) 286-2343
(262) 286-2344
Mailing address
10320 75TH ST STE A, KENOSHA, WI 53142-7525
(262) 286-2343
(262) 286-2344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8023444-9921
UT
Other
Enumeration date
06/20/2011
Last updated
03/09/2026
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