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Individual

DR. ROBERT A. BOUFFARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DENTIST

Contact information

Practice address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
(410) 293-4378

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10626
MD
1223P0300X
Periodontics
Primary
10626
MD

Other

Enumeration date
01/27/2006
Last updated
09/11/2025
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