Individual
ALEX BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
309 SAINT THOMAS ST STE 213, MADAWASKA, ME 04756-1278
(207) 728-3971
Mailing address
88 ST JOHN RD, FORT KENT, ME 04743-2208
(207) 521-4985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4730
ME
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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