Search › Missouri › Pediatric Dentistry
Carly Boudreaux, DMD
NPI 1326604497 · on the registry since 2019
Practice
- Address
- 1709 Heritage Hills Dr
Washington, MO 63090 - Phone
- (636) 238-3520
- Organisation at this address
- C. Hastings, Dds, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-05
- Status
- Not present in the most recent federal file
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 Missouri