| John E. Bosak, Jr., Dmd, A Professional Dental Corporation | |
|
10727 White Oak Ave Suite 213 Granada Hills CA 91344-4631 | |
| (818) 368-5676 | |
| Not Available |
| Full Name | John E. Bosak, Jr., Dmd, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 10727 White Oak Ave, Granada Hills, California |
| Authorized Official Name and Position | John Eugene Bosak (PRESIDENT) |
| Authorized Official Contact | 8183685676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E. Bosak, Jr., Dmd, A Professional Dental Corporation 10727 White Oak Ave Suite 213 Granada Hills CA 91344-4631 Ph: (818) 368-5676 | John E. Bosak, Jr., Dmd, A Professional Dental Corporation 10727 White Oak Ave Suite 213 Granada Hills CA 91344-4631 Ph: (818) 368-5676 |
| NPI Number | 1194162446 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194162446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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