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Gary Boudreaux, DDS
NPI 1154550135 · on the registry since 2009
Practice
- Address
- 8815 Dyer St Ste 255
El Paso, TX 79904 - Phone
- (915) 757-2688
- Fax
- (915) 757-2689
- Organisation at this address
- El Paso Family Dental Pllc
Agave Dental Care Northeast, Pllc
Agave Dental Care North East, Pllc
El Paso Integrated Physicians GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas