Organization
LISA M. BOSCH, DMD, LLC
Active
Other names
Knox County Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MICHELLE BOSCH DMD (OWNER/DENTIST)
(660) 397-2213
Entity
Organization
Contact information
Practice address
107 N MAIN ST, EDINA, MO 63537-1426
(660) 397-2213
Mailing address
107 N MAIN ST, EDINA, MO 63537-1426
(660) 397-2213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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