| Marc R Boivin Dds Llc | |
|
4181 Loughborough Ave St Louis MO 63116 | |
| (314) 832-2628 | |
| (314) 832-2637 |
| Full Name | Marc R Boivin Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 4181 Loughborough Ave, St Louis, Missouri |
| Authorized Official Name and Position | Marc Robert Boivin (SOLE MEMBER) |
| Authorized Official Contact | 3148322628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc R Boivin Dds Llc 4181 Loughborough Ave St Louis MO 63116 Ph: (314) 832-2628 | Marc R Boivin Dds Llc 4181 Loughborough Ave St Louis MO 63116 Ph: (314) 832-2628 |
| NPI Number | 1801913405 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801913405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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