Individual
FRANK BOSCARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3791 S.R. 63, LEBANON, OH 45036
(317) 452-4361
Mailing address
1499 WINDHORST WAY STE 100, GREENWOOD, IN 46143-8800
(317) 452-4361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027728
OH
Other
Enumeration date
09/12/2023
Last updated
09/23/2024
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