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Individual

BRETT D BODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
564 W UWCHLAN AVE, EXTON, PA 19341-1562
(610) 363-7658
(610) 524-6839
Mailing address
564 W UWCHLAN AVE, EXTON, PA 19341-1562
(610) 363-7658
(610) 524-6839

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15592
PA

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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