Val Russell Boudreau JR. D.D.S.

NPI 1033209028 - Dentist - 1223S0112X

NPI Details
NPI 1033209028
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11323 SPRINGFIELD PIKE
CINCINNATI OH, 45246-4201, US
Phone (513) 771-4080
Fax (513) 326-2022
Business Location
11323 SPRINGFIELD PIKE
CINCINNATI OH, 45246-4201, US
Phone (513) 771-4080
Fax (513) 326-2022
Toxanomy
Taxonomy Code 1223S0112X
License State Ohio
License Number 20636
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According to our database, Dr. Val Russell Boudreau JR. D.D.S. NPI is 1033209028, taxonomy code is 1223S0112X and license number is 20636, license state is located at Ohio. Val Russell Boudreau JR. D.D.S. physically located at 11323 Springfield Pike, Cincinnati OH, 45246-4201. NPI Number Val Russell Boudreau JR. D.D.S. has the Individual type.

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1033209028 NPI number is provided on an as is basis without warranty of any kind. 1033209028 is maintained by the National Plan & Provider Enumeration System. The contents of Val Russell Boudreau JR. D.D.S. are for informational purposes only.