Individual
VIRGINIA LEA HOGSETT BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
300 TRADECENTER STE 1700, WOBURN, MA 01801
(339) 645-9190
Mailing address
350 N CLARK ST, STE 600, CHICAGO, IL 60654-4712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029573
IL
1223P0700X
Prosthodontics
Primary
DN1857991
MA
Other
Enumeration date
07/28/2013
Last updated
09/04/2018
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