Individual provider · Type 1 NPI

Richard George Boudreau, DDS

Oral and Maxillofacial Surgery (Dentist) · Marina Del Rey, CA

NPI number 1003952334 Active

Practice location

13160 Mindanao Way, Suite 120
Marina Del Rey, CA 90292-6358

Call (310) 822-6161 Map

Fax (310) 822-6825

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD21852 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

32 other providers at this address

About NPI 1003952334

Richard George Boudreau, DDS's National Provider Identifier is 1003952334, issued on Jan 30, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Marina Del Rey, CA. The record was last updated on Jul 8, 2007.