Organization
RUPERT W. BOSLEY, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPERT WINSTON BOSLEY DDS (DENTIST/OWNER)
(301) 689-3677
Entity
Organization
Contact information
Practice address
16920 NATIONAL HWY SW, FROSTBURG, MD 21532-3306
(301) 689-3677
(301) 689-3477
Mailing address
16920 NATIONAL HWY SW, PO BOX 284, FROSTBURG, MD 21532-3306
(301) 689-3677
(301) 689-3477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001284000
—
MD
Enumeration date
07/08/2011
Last updated
07/08/2011
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