DR. Nathan A Bouchard, D.D.S.

NPI #1174836647 in Richford, Vermont

Provider Information

NPI Number: 1174836647
Entity Type: Individual
Name: DR. Nathan A Bouchard, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 44 MAIN STREET
Address 2: RICHFORD HEALTH CENTER DENTAL CLINIC
City: Richford
State: Vermont
ZIP Code: 05476
Phone: (802) 255-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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