DR. Jerri Anne Boughan, DMD

NPI #1982719431 in Lawrenceville, Illinois

Provider Information

NPI Number
1982719431
Entity Type
Individual
Name
DR. Jerri Anne Boughan, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 21, 2006
Last Updated
Jun 2, 2015

Practice Location

Address
2300 JAMES ST
ZIP Code
62439-2089
Phone
(618) 943-5664

Specialties & Taxonomy Codes

Specialty
Dentist

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