Individual
QUINN BOYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 SE ABBEY ST, BLUE SPRINGS, MO 64014-3704
(505) 507-8222
Mailing address
1508 SE ABBEY ST, BLUE SPRINGS, MO 64014-3704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022039052
MO
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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