Organization
JBH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BOSCH DDS (DENTIST)
(305) 890-0013
Entity
Organization
Contact information
Practice address
1031 PLAZA DR, KISSIMMEE, FL 34743-4070
(407) 344-1550
Mailing address
2852 MAGUIRE ROAD #438, OCOEE, FL 34761
(305) 890-0013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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