Organization
DANIEL A. BOSTON DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL AGEE BOSTON DDS (OWNER)
(435) 752-3343
Entity
Organization
Contact information
Practice address
1320 N 600 E, SUITE 1, LOGAN, UT 84341-2431
(435) 752-3343
(435) 787-1825
Mailing address
1320 N 600 E, SUITE 1, LOGAN, UT 84341-2431
(435) 752-3343
(435) 787-1825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
137627-9922
UT
Other
Enumeration date
05/22/2007
Last updated
07/15/2008
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