Individual
DR. MATT HARRISON BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3057 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4875
(610) 433-2357
Mailing address
3057 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4875
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038763
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS038763
PENNSYLVANIA DENTAL LICENSE NUMBER
PA
Enumeration date
08/18/2011
Last updated
01/24/2012
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