Individual
DR. ERIC CHAD DE BOEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
107 HIGH AVE E, OSKALOOSA, IA 52577-2831
(641) 673-3008
(641) 672-8807
Mailing address
107 HIGH AVE E, OSKALOOSA, IA 52577-2831
(641) 673-3008
(641) 672-8807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08216
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291526
—
IA
Enumeration date
10/18/2006
Last updated
07/08/2007
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