| Kellen And Ramona Bosma Dmd Pc | |
|
2600 Dekalb Ave Suite D Sycamore IL 60178-3131 | |
| (815) 758-5045 | |
| Not Available |
| Full Name | Kellen And Ramona Bosma Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2600 Dekalb Ave, Sycamore, Illinois |
| Authorized Official Name and Position | Kellen Bosma (PRESIDENT) |
| Authorized Official Contact | 8157585045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellen And Ramona Bosma Dmd Pc 2600 Dekalb Ave Suite D Sycamore IL 60178-3131 Ph: (815) 758-5045 | Kellen And Ramona Bosma Dmd Pc 2600 Dekalb Ave Suite D Sycamore IL 60178-3131 Ph: (815) 758-5045 |
| NPI Number | 1932585528 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 08/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932585528 | NPI | - | NPPES |
| 1043676443 | Other | IL | NPI TYPE I FOR DR. RAMONA BOSMA |
| 1407288830 | Other | IL | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029540 (Illinois) | Primary |
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