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1073008470
MATTHEW RICHARD BOUFFORD
SAN DIEGO, CA
NPI
1073008470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 102646)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
Dr. MATTHEW RICHARD BOUFFORD DMD
2310 CRAVEN ST BLDG 3230
SAN DIEGO, CA 92136-5596
Phone number: 619-532-7935
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Mailing Address
Dr. MATTHEW RICHARD BOUFFORD DMD
1045 TURQUOISE ST APT D
SAN DIEGO, CA 92109-1211
Phone number: 562-544-2910
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