Kelly Bouchard Dmd PC
NPI #1821008681 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1821008681
- Entity Type
- Organization
- Organization Name
- Kelly Bouchard Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 103 VAN DEENE AVENUE
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089
- Phone
- (413) 733-3019
Authorized Official
- Name
- DR. KELLY BOUCHARD, DMD
- Title
- OWNER PRESIDENT
- Phone
- (413) 733-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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