NPI 1023380482

Robert Alexander Bosque, DMD

Practitioner Dentist Savannah, GA

Practice location

Address: 723 E 65th St, Savannah, GA 31405-4408
Phone: (912) 355-0555
Fax: (912) 353-9042

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN009619 (GA)

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Registry record

NPI: 1023380482
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2012
Record last updated: 1 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.