Organization
BOUCHER FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BOUCHER (OWNER)
(616) 527-3050
Entity
Organization
Contact information
Practice address
340 LOVELL ST, IONIA, MI 48846-9706
(616) 527-3050
(616) 527-3667
Mailing address
PO BOX 118, IONIA, MI 48846-0118
(616) 527-3050
(616) 527-3667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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