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Individual

TRINITY ELISE BOSZKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
7319 W COLONIAL DR, ORLANDO, FL 32818-6746
(407) 294-9200
(407) 294-1577
Mailing address
1111 E SUNRISE BLVD UNIT 512, FORT LAUDERDALE, FL 33304-2871
(314) 221-6832

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN20423
FL

Other

Enumeration date
11/05/2013
Last updated
09/08/2016
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