Individual
DR. CARLY RACHELLE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1709 HERITAGE HILLS DR, WASHINGTON, MO 63090-4621
(636) 238-3520
Mailing address
114 METALS DR, YOUNGSVILLE, LA 70592-5812
(337) 654-6866
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2021024201
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2019
Last updated
08/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us