Boudreau, Richard George
Boudreau, Richard George is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Suite 120, Marina Del Rey CA 90292-6358. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Boudreau, Richard George can be contacted via phone (310) 822-6161.Contact Information
Primary practice address
13160 Mindanao Way Suite 120
Marina Del Rey CA 90292-6358
Phone: (310) 822-6161
Fax: (310) 822-6825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D21852 | California |
Profile Details
| NPI number | 1003952334 |
|---|---|
| LBN Legal business name | Boudreau, Richard George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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