| Boscobel Family Dental, Llc | |
|
105 E. Bluff Street Boscobel WI 53805 | |
| (608) 375-4549 | |
| (608) 375-4665 |
| Full Name | Boscobel Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 E. Bluff Street, Boscobel, Wisconsin |
| Authorized Official Name and Position | Angela K Salmon (OFFICE MANAGER) |
| Authorized Official Contact | 6086473222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boscobel Family Dental, Llc 105 E Bluff St Boscobel WI 53805-1610 Ph: (608) 375-4549 | Boscobel Family Dental, Llc 105 E. Bluff Street Boscobel WI 53805 Ph: (608) 375-4549 |
| NPI Number | 1841746450 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841746450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1001394 (Wisconsin) | Primary |
Boscobel Family Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Bluff St, Boscobel, WI 53805 Phone: 608-375-4549 | |
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 |