| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780373936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |