Steve Frederick Boden, DDS Valid NPI
Individual provider · Dentist · Portage, MI
- NPI
- 1831144591
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 13420 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-23
- Last updated
- 2007-07-08
Practice location
8905 Portage Rd
Portage, MI 49002
(269) 323-0510