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1831247048
BOULEVARD DENTAL CARE L.L.C.
SAINT CHARLES, MO
NPI
1831247048
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Entity Type
Organization
Authorized Contact
RANDALL CRAIG REYES
Manager
636-939-6868
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-01-07
Last Update Date
2007-07-30
Business Address
BOULEVARD DENTAL CARE L.L.C.
2645 MUEGGE RD
SAINT CHARLES, MO 63303-3145
Phone number: 636-939-6868
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Mailing Address
BOULEVARD DENTAL CARE L.L.C.
11939 MANCHESTER RD #120
DES PERES, MO 63131-4502
Phone number: 636-939-6868
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