Individual
DR. PAUL JOHN BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
494 HIGHLAND AVE, NEWPORT, VT 05855
(802) 334-1400
(802) 334-1809
Mailing address
68 TAMARACK RD, JAY, VT 05859
(802) 988-4357
(802) 988-9625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001953
—
VT
Enumeration date
08/05/2006
Last updated
07/08/2007
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