Individual
DR. CHRIS BOSEOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11961 HERITAGE OAK PL, AUBURN, CA 95603-2461
(530) 823-1100
Mailing address
5212 PIEDMONT DR, SANTA ROSA, CA 95409-2846
(707) 494-2802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56189
CA
122300000X
Dentist
D15051
CA
208D00000X
General Practice Physician
0101276912
VA
208D00000X
General Practice Physician
Primary
73063
CA
Other
Enumeration date
10/24/2006
Last updated
10/29/2025
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