Individual
GERALD M. BOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 W SLIGH AVE, TAMPA, FL 33614-4342
(813) 932-9178
(813) 935-6953
Mailing address
9902 LONE TREE LN, TAMPA, FL 33618-4431
(813) 963-2276
(813) 935-6953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5638
FL
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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