Individual
LAWRENCE DAVID BOSSONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
80 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 729-0933
(207) 729-0671
Mailing address
80 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 729-0933
(207) 729-0671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3441
ME
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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