Individual
DR. DAVID BOULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 W PLYMOUTH AVE, DELAND, FL 32720-2721
(386) 736-8865
(386) 736-6890
Mailing address
1425 NEW BOLTON DR, PORT ORANGE, FL 32129-5327
(386) 405-1108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20722
FL
Other
Enumeration date
05/20/2014
Last updated
06/23/2024
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