Joseph Robert Boulter, DMD
NPI #1053381632 in Jacksonville, Florida
Provider Information
- NPI Number
- 1053381632
- Entity Type
- Individual
- Name
- Joseph Robert Boulter, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8823 GOODBYS EXECUTIVE DR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32217
- Phone
- (904) 731-0432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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