| Daniel A. Boston Dds, Pc | |
|
1320 N 600 E Suite 1 Logan UT 84341-2431 | |
| (435) 752-3343 | |
| (435) 787-1825 |
| Full Name | Daniel A. Boston Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1320 N 600 E, Logan, Utah |
| Authorized Official Name and Position | Daniel Agee Boston (OWNER) |
| Authorized Official Contact | 4357523343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A. Boston Dds, Pc 1320 N 600 E Suite 1 Logan UT 84341-2431 Ph: (435) 752-3343 | Daniel A. Boston Dds, Pc 1320 N 600 E Suite 1 Logan UT 84341-2431 Ph: (435) 752-3343 |
| NPI Number | 1851500888 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851500888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 137627-9922 (Utah) | Primary |
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› Verified 2 days ago
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