Individual
DR. ALEX JENNINGS BOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
136 MAIN ST W, NEW PRAGUE, MN 56071-2334
(952) 758-3003
(952) 758-1939
Mailing address
830 SHENANDOAH DR UNIT B285, SHAKOPEE, MN 55379-5133
(715) 305-5099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14649
MN
Other
Enumeration date
08/10/2021
Last updated
10/25/2021
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