Organization
BOEHM DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BOEHM D.D.S. (OWNER)
(979) 532-4400
Entity
Organization
Contact information
Practice address
808 N FULTON ST, WHARTON, TX 77488-3946
(979) 532-4400
Mailing address
808 N FULTON ST, WHARTON, TX 77488-3946
(979) 532-4400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15963
TX
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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