| Lee R. Boese, D.D.S., M.S.D., Inc. | |
|
177 W El Portal Dr Merced CA 95348-2833 | |
| (209) 723-3776 | |
| Not Available |
| Full Name | Lee R. Boese, D.D.S., M.S.D., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 177 W El Portal Dr, Merced, California |
| Authorized Official Name and Position | Lee R. Boese (OWNER) |
| Authorized Official Contact | 2097233776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee R. Boese, D.D.S., M.S.D., Inc. 177 W El Portal Dr Merced CA 95348-2833 Ph: (209) 723-3776 | Lee R. Boese, D.D.S., M.S.D., Inc. 177 W El Portal Dr Merced CA 95348-2833 Ph: (209) 723-3776 |
| NPI Number | 1285795070 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285795070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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