Individual provider · Type 1 NPI
Val Russell Boudreau Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Cincinnati, OH
NPI number
1033209028
Active
Practice location
11323 Springfield Pike
Cincinnati, OH 45246-4201
Fax (513) 326-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 20636 (OH) |
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.
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About NPI 1033209028
Val Russell Boudreau Jr., DDS's National Provider Identifier is 1033209028, issued on Oct 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 8, 2007.