DR. Kelly Marie Bouchard, D.M.D.
NPI #1316105307 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1316105307
- Entity Type
- Individual
- Name
- DR. Kelly Marie Bouchard, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- May 28, 2008
- Last Updated
- May 28, 2008
Practice Location
- Address
- 103 VAN DEENE AVE
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-3200
- Phone
- (413) 733-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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