Individual
DR. LUCIAN DAN BOBOIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
(512) 902-9997
Mailing address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
(512) 902-9997
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
29705
TX
1223P0221X
Pediatric Dentistry
29705
TX
Other
Enumeration date
11/29/2006
Last updated
02/26/2021
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