Most Relevant Information
Provider Data
| NPI Number: | 1003266859 |
| Provider Name: | VICKY BOSSIE RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 0402203479 |
Most Important Dates
| Enumeration Date: | 06/13/2016 |
| Last Updated: | 06/13/2016 |
Provider Practice Location
557 STERNBERG AVE
FORT EUSTIS
VA
236041526
Practice Location Phone/Fax
| Phone: | 7573148010 |
| Fax: |
Provider Mailing Location
557 STERNBERG AVE
FORT EUSTIS
VA
236041526
Provider Mailing Phone/Fax
| Phone: | 7573148010 |
| Fax: |