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Individual

DR. GEORGE HOWARD BOULDIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDSMS

Contact information

Practice address
3100 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-7915
(901) 755-3354
Mailing address
3100 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-7915
(901) 755-3354

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1712
TN

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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