Individual
STEPHEN PAUL BOZOIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3394 MCKELVEY, SUITE 110, BRIDGETON, MO 63044
(314) 739-5600
(314) 739-5669
Mailing address
3394 MCKELVEY, SUITE 110, BRIDGETON, MO 63044
(314) 739-5600
(314) 739-5669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013549
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188037
CIGNA
MO
01
—
865780
UNITED CONCORDIA
MO
Enumeration date
10/03/2006
Last updated
07/08/2007
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