Organization
KEITH E. BOYD JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EDWARD BOYD JR. DDS (DENTIST)
(928) 763-5777
Entity
Organization
Contact information
Practice address
3003 HIGHWAY 95, SUITE 103, BULLHEAD CITY, AZ 86442-7860
(928) 763-5777
(928) 763-6007
Mailing address
3003 HIGHWAY 95, SUITE 103, BULLHEAD CITY, AZ 86442-7860
(928) 763-5777
(928) 763-6007
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4121
AZ
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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