Individual
RICHARD R BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
606 EDWARDSVILLE RD, TROY, IL 62294-1336
(618) 667-8020
(618) 667-8078
Mailing address
606 EDWARDSVILLE RD, TROY, IL 62294-1336
(618) 667-8020
(618) 667-8078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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