| Bosworth, Inc A Dental Corporation | |
|
7675 Dagget St #160 San Diego CA 92111-2200 | |
| (858) 292-4566 | |
| (858) 292-5217 |
| Full Name | Bosworth, Inc A Dental Corporation |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 7675 Dagget St, San Diego, California |
| Authorized Official Name and Position | Robert L Bosworth (OWNER/DENTIST) |
| Authorized Official Contact | 8582924566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosworth, Inc A Dental Corporation 7675 Dagget St #160 San Diego CA 92111-2200 Ph: (858) 292-4566 | Bosworth, Inc A Dental Corporation 7675 Dagget St #160 San Diego CA 92111-2200 Ph: (858) 292-4566 |
| NPI Number | 1285786616 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285786616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 55147 (California) | Primary |
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