Individual
CHARLETTE BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
7058 CORPORATE WAY STE 3, CENTERVILLE, OH 45459-4243
(937) 586-7729
Mailing address
5324 RIVERS EDGE BLVD, DAYTON, OH 45414-3846
(937) 825-7363
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
EFDA 01071
OH
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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