Individual
MR. WILLIAM G BOZALIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS PC
Contact information
Practice address
3613 NW 56TH, SUITE 105 THREE CORPORATE PLAZA, OKLAHOMA CITY, OK 73112
(405) 946-2455
(405) 946-3445
Mailing address
3613 NW 56TH, SUITE 105 THREE CORPORATE PLAZA, OKLAHOMA CITY, OK 73112
(405) 946-2455
(405) 946-3445
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3672
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446465286001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
12/07/2005
Last updated
07/08/2007
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