Kelly B Bosworth DDS 9311

NPI 1174615306 - Dentist - 122300000X

NPI Details
NPI 1174615306
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
24000 HWY 7
SUITE 120 KELLY BOSWORTH FAMILY DENTISTRY
SHOREWOOD MN, 55331, US
Phone (952) 474-4123
Fax (952) 401-3482
Business Location
24000 HWY 7
SUITE 120 KELLY BOSWORTH FAMILY DENTISTRY
SHOREWOOD MN, 55331, US
Phone (952) 474-4123
Fax (952) 401-3482
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 9311
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According to our database, Mr. Kelly B Bosworth DDS 9311 NPI is 1174615306, taxonomy code is 122300000X and license number is 9311, license state is located at Minnesota. Kelly B Bosworth DDS 9311 physically located at 24000 Hwy 7, Shorewood MN, 55331. NPI Number Kelly B Bosworth DDS 9311 has the Individual type.

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1174615306 NPI number is provided on an as is basis without warranty of any kind. 1174615306 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly B Bosworth DDS 9311 are for informational purposes only.