Organization
BOSS DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LO (OWNER)
(718) 888-1688
Entity
Organization
Contact information
Practice address
1970 STATE ROUTE 27, EDISON, NJ 08817-3249
(718) 888-1688
Mailing address
1970 STATE ROUTE 27, EDISON, NJ 08817-3249
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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