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NPI Code Detail

MEDICARE: DR. PATRICIA ISABEL BOYLE DDS

MEDICARE: DR. PATRICIA ISABEL BOYLE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry15195MI

General Provider Information

NPI Number : 1285693564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA ISABEL BOYLE DDS
Provider Business Mailing Address
First Line : 18514 OUTER DR
Second Line :
City : DEARBORN
State : MI
Zip : 48128-1874
Country : US
Telephone Number : 313-565-5104
Fax Number : 313-565-5104
Provider Business Practice Location Address
First Line : 18514 OUTER DR
Second Line :
City : DEARBORN
State : MI
Zip : 48128-1874
Country : US
Telephone Number : 313-565-5104
Fax Number : 313-565-5106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/08/2007

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