DR. Shelli Boucher, D.M.D.
NPI #1356773691 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1356773691
- Entity Type
- Individual
- Name
- DR. Shelli Boucher, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 8, 2013
- Last Updated
- Jul 9, 2024
Practice Location
- Address
- 185 MARRON DR
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-4510
- Phone
- (860) 428-7204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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