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
- State
- North Dakota
- ZIP Code
- 58205-6306
- Phone
- (701) 747-5393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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