Individual
DR. BRENDON THOMAS BOERM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 HIGHWAY 218 N, LA PORTE CITY, IA 50651-1032
(319) 342-3622
Mailing address
5005 ALGONQUIN DR APT 2, CEDAR FALLS, IA 50613-8019
(641) 751-1041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09654
IA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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