Pam Bouton DDS

NPI #1205969052 in Owego, New York

Provider Information

NPI Number: 1205969052
Entity Type: Organization
Organization Name: Pam Bouton DDS
Primary Specialty: Dentist
Enumeration Date: Mar 13, 2007
Last Updated: Jun 3, 2013

Practice Location

Address: 153 MAIN STREET
City: Owego
State: New York
ZIP Code: 13827
Phone: (607) 687-7536

Authorized Official

Name: PAM BOUTON, DDS
Title: OWNER
Phone: (607) 687-7536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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