Individual
DR. NATHAN A BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
44 MAIN STREET, RICHFORD HEALTH CENTER DENTAL CLINIC, RICHFORD, VT 05476
(802) 255-5520
Mailing address
44 MAIN STREET, RICHFORD HEALTH CENTER DENTAL CLINIC, RICHFORD, VT 05476
(802) 255-5520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0069455
VT
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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