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Individual

DR. PAUL RICHARD BOECLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.S.

Contact information

Practice address
958 JOE FRANK HARRIS PKWY SE BLDG A, SUITE 104, CARTERSVILLE, GA 30120-2151
(770) 386-2442
(770) 386-2442
Mailing address
958 JOE FRANK HARRIS PKWY SE BLDG A, SUITE 104, CARTERSVILLE, GA 30120-2151
(770) 386-2442
(770) 386-2442

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN009792
GA

Other

Enumeration date
03/25/2007
Last updated
07/08/2007
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