Matthew Boscia, D.M.D

NPI 1043540552 · on the registry since 2010 · sole proprietor

Practice

Address: 15 Lakeside Dr
Lake St Louis, MO 63367
Phone: (636) 625-1225
Fax: (636) 625-1228
Organisation at this address: Balance Of Life, Llc
New Creation Dental Care Lc
New Creation Center For Dental Sleep Medicine Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 332B00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri