DR. Tammy Marie Boudry, DDS
NPI #1548489966 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1548489966
- Entity Type
- Individual
- Name
- DR. Tammy Marie Boudry, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 133 PARKWAY CT
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3809
- Phone
- (920) 921-0158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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