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Dr. Lucian Dan Boboia, DDS
Dentist Anesthesiologist in Fort Wayne, Indiana
NPI 1215004783

Lucian Dan Boboia is a Dentist Anesthesiologist based in Fort Wayne, IN and is specialized in Dentist Anesthesiologist. Lucian Dan Boboia practices in Fort Wayne, IN and has the professional credentials of DDS. The NPI Number for Lucian Dan Boboia is 1215004783 and holds a License No. 29705 (Indiana).

The current practice location address for Lucian Dan Boboia is 3030 Lake Ave Ste 15, Fort Wayne, IN and can be reached out via phone at 512-902-9997. You can also correspond with Lucian Dan Boboia through the mailing address at 3030 LAKE AVE STE 15, FORT WAYNE, IN - 46805-5428 (mailing address contact number: 512-902-9997).

Location: 3030 Lake Ave Ste 15, Fort Wayne, IN, 46805-5428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215004783
Provider Name
Lucian Dan Boboia
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3030 Lake Ave Ste 15, Fort Wayne, IN, 46805-5428
Phone Number
512-902-9997
Fax Number
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3030 Lake Ave Ste 15
City
Fort Wayne
State
Indiana
Zip
46805-5428
Phone Number
512-902-9997
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Lake Ave Ste 15
City
Fort Wayne
State
Indiana
Zip
46805-5428
Phone Number
512-902-9997
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
29705 (Texas)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
29705 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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