Individual
MR. TROY DEAN BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2507 N 7TH ST, WEST MONROE, LA 71291-5125
(318) 396-4466
(318) 396-6998
Mailing address
2507 N 7TH ST, WEST MONROE, LA 71291-5125
(318) 396-4466
(318) 396-6998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4341
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843415
—
LA
Enumeration date
12/13/2006
Last updated
07/08/2007
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