Individual
DR. JOHN KENNEDY BOEDIGHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1445 N MAIN AVE, SIDNEY, OH 45365-1782
(937) 492-9983
(937) 492-8869
Mailing address
1445 N MAIN AVE, SIDNEY, OH 45365-1782
(937) 492-9983
(937) 492-8869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014422
OH
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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