Lisa M. Bosch, Dmd, Llc | |
107 N Main St Edina MO 63537-1426 | |
(660) 397-2213 | |
Not Available |
Full Name | Lisa M. Bosch, Dmd, Llc |
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Speciality | Clinic/center - Dental |
Location | 107 N Main St, Edina, Missouri |
Authorized Official Name and Position | Lisa Michelle Bosch (OWNER/DENTIST) |
Authorized Official Contact | 6603972213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lisa M. Bosch, Dmd, Llc 107 N Main St Edina MO 63537-1426 Ph: (660) 397-2213 | Lisa M. Bosch, Dmd, Llc 107 N Main St Edina MO 63537-1426 Ph: (660) 397-2213 |
NPI Number | 1780373936 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 05/03/2023 |
Identifier | Type | State | Issuer |
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1780373936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |