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Contact Information

JUAN C BOSQUE SR, DDS
3760 CONVOY ST
SUITE 330
SAN DIEGO, CA92111-3742
 Phone: 858-999-5968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JUAN C BOSQUE SR · (Male)

NPI # 1750506754
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/16/2007
Last updated 01/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 42723
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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