Organization
BOSS DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W. BOSS JR. DMD (OWNER)
(856) 451-9064
Entity
Organization
Contact information
Practice address
553 SHILOH PIKE, BRIDGETON, NJ 08302-1405
(856) 451-9064
(856) 451-8414
Mailing address
553 SHILOH PIKE, BRIDGETON, NJ 08302-1405
(856) 451-9064
(856) 451-8414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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