MISS Brandi Lea Boushee, RDH

NPI #1720387434 in Gfafb, North Dakota

Provider Information

NPI Number
1720387434
Entity Type
Individual
Name
MISS Brandi Lea Boushee, RDH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Credential
RDH
Enumeration Date
Mar 21, 2011
Last Updated
Mar 21, 2011

Practice Location

Address
1599 J ST BLDG 109A
City
Gfafb
ZIP Code
58205-6306
Phone
(701) 747-5393

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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