Individual
DR. ANDREW JON BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6140 LAKE LINDEN DR, SUITE #230, EXCELSIOR, MN 55331-2954
(952) 474-4123
Mailing address
6140 LAKE LINDEN DR, SUITE #230, EXCELSIOR, MN 55331-2954
(952) 474-4123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13677
MN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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