Individual
DR. GHYSLAIN LESSARD-BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
3855 ORLOFF AVE APT 7D, BRONX, NY 10463-2644
(646) 915-5802
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50 P65355
NY
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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