Individual
DR. JAN A BOSSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2138 BROOKDALE RD, TOLEDO, OH 43606-3322
(419) 531-4626
(419) 531-6403
Mailing address
2138 BROOKDALE RD, TOLEDO, OH 43606-3322
(419) 531-4626
(419) 531-6403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488324
—
OH
Enumeration date
10/03/2006
Last updated
07/08/2007
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