BOULEVARD DENTAL CARE L.L.C.

SAINT CHARLES, MO
NPI1831247048
Entity TypeOrganization
Authorized ContactRANDALL CRAIG REYES
Manager
636-939-6868
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-01-07
Last Update Date2007-07-30
Business Address
BOULEVARD DENTAL CARE L.L.C.
2645 MUEGGE RD
SAINT CHARLES, MO 63303-3145
Phone number: 636-939-6868
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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