DR. Greg Allen Boivin, DMD

NPI #1992822597 in St Louis, Missouri

Provider Information

NPI Number: 1992822597
Entity Type: Individual
Name: DR. Greg Allen Boivin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4181 LOUGHBOROUGH AVE
City: St Louis
State: Missouri
ZIP Code: 63116
Phone: (314) 832-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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