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Individual

MRS. CHRISTY MINTER BOUDREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
175 LEE ST, LUMBERTON, TX 77657-7577
(409) 755-6565
(409) 755-3718
Mailing address
175 LEE ST, LUMBERTON, TX 77657-7577
(409) 755-6565
(409) 755-3718

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31110
TX

Other

Enumeration date
06/29/2015
Last updated
09/10/2015
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