Individual
DR. MARC ROBERT BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4181 LOUGHBOROUGH AVE, ST LOUIS, MO 63116
(314) 832-2628
(314) 832-2637
Mailing address
4181 LOUGHBOROUGH AVE, ST LOUIS, MO 63116
(314) 833-2262
(314) 832-2637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014216
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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