Individual
DR. JENNIFER BOAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1001 DUNN RD, FLORISSANT, MO 63031-8215
(314) 921-3527
(314) 921-7855
Mailing address
1001 DUNN RD, FLORISSANT, MO 63031-8215
(314) 921-3527
(314) 921-7855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006014862
MO
Other
Enumeration date
11/20/2007
Last updated
07/15/2016
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