DR. Mark Isidore Boule, D.D.S.

NPI #1073608212 in Manlius, New York

Provider Information

NPI Number
1073608212
Entity Type
Individual
Name
DR. Mark Isidore Boule, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8076 CAZENOVIA RD
ZIP Code
13104-9218
Phone
(315) 682-5200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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