Individual
BARB BOEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
321 E MAIN ST, NEW HAMPTON, IA 50659-1455
(641) 394-3016
(641) 394-4819
Mailing address
321 E MAIN ST, NEW HAMPTON, IA 50659-1455
(641) 394-3016
(641) 394-4819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07307
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048082
—
IA
01
—
26352
BLUE CROSS BLUE SHIELD
IA
01
—
835364
UNITED CONCORDIA
IA
Enumeration date
07/29/2006
Last updated
07/08/2007
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