Martin A Boudro in Kennewick - General Practice

Martin A Boudro - NPI 1366521155

Martin A Boudro is a General Practice in Kennewick, Washington. Martin A Boudro practices all healthcare services and medical treatments related to General Practice. The NPI Number for Martin A Boudro is 1366521155. The last update date is 2007-07-08.

Martin A Boudro's current location address is 804 S Washington, Kennewick, Washington. You can contact this provider via phone number 5095829182 and fax number 5095868179. The mailing address for Martin A Boudro is 804 S Washington, Kennewick, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin A Boudro
Address 804 S Washington, Kennewick, Washington
Phone Number 5095829182
Fax Number 5095868179
Sole Proprietor N
Credentials DDS MSD

NPI Number Detail

NPI Number 1366521155
Provider Enumeration Date 2006-11-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 804 S Washington
City Kennewick
State Washington (WA)
Post Code 99336
Phone Number 5095829182
Fax Number 5095868179

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5392
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Martin A Boudro

What is the unique identifier code issued to Martin A Boudro by the Centers for Medicare & Medicaid Services (CMS)?

The Martin A Boudro has been assigned the NPI (National Provider Identifier) 1366521155. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Martin A Boudro is geographically located?

The Martin A Boudro is physically situated at the following location: 804 S Washington, Kennewick, WA, 99336.

What is Martin A Boudro's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Martin A Boudro is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1366521155 assigned to Martin A Boudro?

The Martin A Boudro was issued its 1366521155 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Martin A Boudro most recently updated or refreshed?

The details pertaining to the Martin A Boudro, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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