Individual
DR. GEORGE E BOUDREAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1740 SOUTH ST, STE 504, PHILADELPHIA, PA 19146
(215) 545-6334
(215) 893-4675
Mailing address
222 ELBOW LN, HAVERFORD, PA 19041
(610) 649-9837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS18682L
PA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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