Individual
DR. JASON ALAN BOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 MCKENZIE AVE, SUITE 207, COUNCIL BLUFFS, IA 51503-1002
(712) 256-9943
Mailing address
320 MCKENZIE AVE, SUITE 207, COUNCIL BLUFFS, IA 51503-1002
(712) 256-9943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08397
IA
122300000X
Dentist
6978
NE
Other
Enumeration date
08/15/2006
Last updated
09/07/2023
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