Bernard D Bos DDS INC
Clinic/Center, Dental in Gladstone, OR. Organization (NPI-2).
NPI number1982247938
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1982247938
- Entity type
- Organization (NPI-2)
- Legal business name
- Bernard D Bos DDS INC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2019
- Last updated
- Oct 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
19230 McLoughlin BlvdGladstone, OR 97027-2625
Phone 503-656-1208 · Fax 503-722-1822
Mailing address
19230 McLoughlin BlvdGladstone, OR 97027-2625
Phone 503-656-1208 · Fax 503-722-1822
Other practice locations
19230 McLoughlin Blvd
Gladstone, OR 97027-2625
Gladstone, OR 97027-2625
Phone 503-656-1208
Authorized official
Bernard Dean Bos
President/Owner
5037842471
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