Ralph R. Bozell D.D.S. P.C.
Dentist, General Practice in Canton, MI. Organization (NPI-2).
NPI number1790748762
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790748762
- Entity type
- Organization (NPI-2)
- Legal business name
- Ralph R. Bozell D.D.S. P.C.
- Organization subpart
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901010640 | MI | Yes |
Practice location
8550 N Canton Center RdCanton, MI 48187-1310
Phone 734-451-0995 · Fax 734-451-1878
Mailing address
8550 N Canton Center RdCanton, MI 48187-1310
Phone 734-451-0995 · Fax 734-451-1878
Authorized official
Ralph Runnels Bozell
President
7344510995
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