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Dr. Raison Sujai Bose, DDS
Endodontist in Wauwatosa, Wisconsin
NPI 1780815928

Raison Sujai Bose is a Endodontist based in Wauwatosa, WI and is specialized in Endodontics. Raison Sujai Bose practices in Wauwatosa, WI and has the professional credentials of DDS. The NPI Number for Raison Sujai Bose is 1780815928 and holds a License No. 6750-015 (Wisconsin).

The current practice location address for Raison Sujai Bose is 2600 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-258-1500 and via fax at 414-258-9353.

Location: 2600 N Mayfair Rd, Wauwatosa, WI, 53226-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780815928
Provider Name
Raison Sujai Bose
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2600 N Mayfair Rd, Wauwatosa, WI, 53226-1309
Phone Number
414-258-1500
Fax Number
414-258-9353
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
UTSA 887X 01 TX TEXAS STATE BOARD OF DENTAL EXAMINERS
institution
Provider Business Practice Location Address Details
Address
2600 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-1309
Phone Number
414-258-1500
Fax Number
414-258-9353
person
Provider Business Mailing Address Details
Address
2600 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-1309
Phone Number
414-258-1500
Fax Number
414-258-9353
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
6750-015 (Wisconsin)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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