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Dr. Richard George Boudreau, DDS
Oral and Maxillofacial Surgery (Dentist) in Marina Del Rey, California
NPI 1003952334

Richard George Boudreau is a Oral and Maxillofacial Surgery (Dentist) based in Marina Del Rey, CA and is specialized in Oral and Maxillofacial Surgery. Richard George Boudreau practices in Marina Del Rey, CA and has the professional credentials of DDS. The NPI Number for Richard George Boudreau is 1003952334 and holds a License No. D21852 (California).

The current practice location address for Richard George Boudreau is 13160 Mindanao Way, Marina Del Rey, CA and can be reached out via phone at 310-822-6161 and via fax at 310-822-6825.

Location: 13160 Mindanao Way, Marina Del Rey, CA, 90292-6358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003952334
Provider Name
Richard George Boudreau
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13160 Mindanao Way, Marina Del Rey, CA, 90292-6358
Phone Number
310-822-6161
Fax Number
310-822-6825
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13160 Mindanao Way
City
Marina Del Rey
State
California
Zip
90292-6358
Phone Number
310-822-6161
Fax Number
310-822-6825
person
Provider Business Mailing Address Details
Address
13160 Mindanao Way
City
Marina Del Rey
State
California
Zip
90292-6358
Phone Number
310-822-6161
Fax Number
310-822-6825
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D21852 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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