Boulevard Dental Care L.l.c.

NPI #1831247048 in Saint Charles, Missouri

Provider Information

NPI Number
1831247048
Entity Type
Organization
Organization Name
Boulevard Dental Care L.l.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 7, 2007
Last Updated
Jul 30, 2007

Practice Location

Address
2645 MUEGGE RD
ZIP Code
63303-3145
Phone
(636) 939-6868

Authorized Official

Name
DR. RANDALL CRAIG REYES, D.M.D.
Title
MANAGER
Phone
(636) 939-6868

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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