Individual
DR. MARIE CHRISTINE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 HIGGINS HIGHWAY, MANSFIELD, CT 06250
(860) 423-2587
(203) 239-5648
Mailing address
323 MAIN STREET, WEST HAVEN, CT 06516
(203) 937-7181
(203) 937-1940
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002392
—
CT
Enumeration date
11/06/2006
Last updated
12/20/2013
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