Individual
DR. JAMES ROBERT BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13334 MINNIEVILLE RD, WOODBRIDGE, VA 22192-4033
(703) 910-3285
(703) 670-0351
Mailing address
13334 MINNIEVILLE RD, WOODBRIDGE, VA 22192-4033
(703) 910-3285
(703) 670-0351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413502
VA
Other
Enumeration date
10/13/2006
Last updated
05/24/2016
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