Organization
BOSWELL DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM MILLER DDS (PRESIDENT)
(814) 629-5603
Entity
Organization
Contact information
Practice address
403 MAIN ST, BOSWELL, PA 15531-1116
(814) 629-5603
Mailing address
403 MAIN ST, BOSWELL, PA 15531-1116
(814) 629-5603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027489L
PA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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