| Susan Hudak Boss, D.m.d., P.a. | |
|
9160 Oakhurst Rd Suite # 2 Seminole FL 33776-2157 | |
| (727) 595-4525 | |
| (727) 596-4161 |
| Full Name | Susan Hudak Boss, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9160 Oakhurst Rd, Seminole, Florida |
| Authorized Official Name and Position | Susan Elizabeth Hudak Boss (PRESIDENT) |
| Authorized Official Contact | 7275954525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Hudak Boss, D.m.d., P.a. 9160 Oakhurst Rd Suite # 2 Seminole FL 33776-2157 Ph: (727) 595-4525 | Susan Hudak Boss, D.m.d., P.a. 9160 Oakhurst Rd Suite # 2 Seminole FL 33776-2157 Ph: (727) 595-4525 |
| NPI Number | 1376671701 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376671701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0014104 (Florida) | Primary |
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