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Lisa M. Bosch, Dmd, Llc
Dental Clinic/Center in Edina, Missouri
NPI 1780373936

Lisa M. Bosch, Dmd, Llc is a Dental Clinic/Center based in Edina, MO and is specialized in Dental. Lisa M. Bosch, Dmd, Llc practices in Edina, MO. The NPI Number for Lisa M. Bosch, Dmd, Llc is 1780373936 and holds a License No. (Missouri).

The current practice location address for Lisa M. Bosch, Dmd, Llc is 107 N Main St, Edina, MO and can be reached out via phone at 660-397-2213.

Location: 107 N Main St, Edina, MO, 63537-1426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780373936
Provider Name
Lisa M. Bosch, Dmd, Llc
Credential
Provider Entity Type
Organization
Address
107 N Main St, Edina, MO, 63537-1426
Phone Number
660-397-2213
Fax Number
Provider Enumeration Date
05/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
107 N Main St
City
Edina
State
Missouri
Zip
63537-1426
Phone Number
660-397-2213
Fax Number
person
Provider Business Mailing Address Details
Address
107 N Main St
City
Edina
State
Missouri
Zip
63537-1426
Phone Number
660-397-2213
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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