Lawrence Curtis Bouma, DDS

NPI #1982888244 in Bainbridge Island, Washington

Provider Information

NPI Number: 1982888244
Entity Type: Individual
Name: Lawrence Curtis Bouma, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 12964 ROE RD NE
City: Bainbridge Island
State: Washington
ZIP Code: 98110-1204
Phone: (206) 780-2642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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