Individual
JENNIFER BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 N ALAFAYA TRL STE 125, ORLANDO, FL 32828-4318
(305) 890-0013
Mailing address
3756 US HIGHWAY 98 N, LAKELAND, FL 33809-3809
(305) 890-0013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24978
FL
122300000X
Dentist
Primary
DN24978
FL
Other
Enumeration date
06/17/2020
Last updated
10/10/2022
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