Dr. Abigail Nielsen Boatman, DDS
Dentist in Pontiac, MI. Individual provider (NPI-1).
NPI number1396436366
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1396436366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Abigail Nielsen Boatman
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2023
- Certification date
- May 1, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2951000928 | MI | Yes |
Practice location
44405 Woodward AvePontiac, MI 48341-5023
Phone 248-858-6100
Mailing address
44405 Woodward AvePontiac, MI 48341-5023
Phone 248-858-3234
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