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Individual

DR. BRYAN FULTON BOSHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
1840 FM 359 RD, RICHMOND, TX 77469-2049
(281) 341-8300
(832) 595-0421
Mailing address
1840 FM 359 RD, RICHMOND, TX 77469-2049
(281) 341-8300
(832) 595-0421

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14725
TX

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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