Individual
DR. DANIEL KARL BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4503 HANOVERVILLE RD., BETHLEHEM, PA 18020
(610) 746-9400
(610) 746-9500
Mailing address
4503 HANOVERVILLE RD., BETHLEHEM, PA 18020
(610) 746-9400
(610) 746-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-031501-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100840011-0001
—
PA
Enumeration date
10/02/2006
Last updated
07/08/2007
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