| Boscobel Family Dental Care Llc | |
|
105 E Bluff St Boscobel WI 53805-1610 | |
| (608) 375-4549 | |
| Not Available |
| Full Name | Boscobel Family Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 E Bluff St, Boscobel, Wisconsin |
| Authorized Official Name and Position | Joel Ledvina (DENTIST) |
| Authorized Official Contact | 9206768384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boscobel Family Dental Care Llc 105 E Bluff St Boscobel WI 53805-1610 Ph: (608) 375-4549 | Boscobel Family Dental Care Llc 105 E Bluff St Boscobel WI 53805-1610 Ph: (608) 375-4549 |
| NPI Number | 1265120828 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265120828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Formerly Self Proprietor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Parker Street, Boscobel, WI 53805 Phone: 608-375-4640 | |
L L Clark Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 East Bluff Street, Boscobel, WI 53805 Phone: 608-375-4549 Fax: 608-375-4665 | |
Boscobel Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E. Bluff Street, Boscobel, WI 53805 Phone: 608-375-4549 Fax: 608-375-4665 |