DR. Richard George Boudreau, D.D.S.
NPI #1003952334 in Marina Del Rey, California
Provider Information
- NPI Number
- 1003952334
- Entity Type
- Individual
- Name
- DR. Richard George Boudreau, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S.
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 13160 MINDANAO WAY
- Address 2
- SUITE 120
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6358
- Phone
- (310) 822-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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