Organization
BOSEY DENTAL ENTERPRISES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY BOSEMAN DDS (OWNER)
(801) 278-0840
Entity
Organization
Contact information
Practice address
4698 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84117-5265
(801) 278-0840
Mailing address
4698 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84117-5265
(801) 278-0840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
01/06/2020
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