Individual
DR. ROBERT S BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
332 WEST BROADWAY, SUITE 1210, LOUISVILLE, KY 40202-2191
(502) 584-2142
(502) 584-2168
Mailing address
332 WEST BROADWAY, SUITE 1210, LOUISVILLE, KY 40202-2191
(502) 584-2142
(502) 584-2168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4314
KY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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