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Organization

BOSCOBEL FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA K SALMON (OFFICE MANAGER)
(608) 647-3222
Entity
Organization

Contact information

Practice address
105 E. BLUFF STREET, BOSCOBEL, WI 53805
(608) 375-4549
(608) 375-4665
Mailing address
105 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 375-4549
(608) 375-4665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001394
WI

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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