Individual
DR. ROBERT CLIFFORD BOUGGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1827 NORTHWESTERN AVE, WEST LAFAYETTE BRA, IN 47906-2279
(765) 463-5561
Mailing address
1827 NORTHWESTERN AVE, WEST LAFAYETTE BRA, IN 47906-2279
(765) 463-5561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008204B
IN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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