Individual
DR. ABRAHAM HUMPHREY BOADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
36 S BYRNE RD, TOLEDO, OH 43615-6211
(419) 534-2479
(419) 534-3260
Mailing address
36 S BYRNE RD, TOLEDO, OH 43615-6211
(419) 534-2479
(419) 534-3260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01541
PARAMOUNT HELTHCARE
OH
05
—
0719486
—
OH
01
—
432095956
TAX IDENTIFICATION
OH
Enumeration date
09/16/2006
Last updated
01/31/2017
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