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Individual

ERIC BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
339 MCCASLIN BLVD STE B, LOUISVILLE, CO 80027-2914
(303) 673-0500
Mailing address
339 MCCASLIN BLVD STE B, LOUISVILLE, CO 80027-2914
(303) 673-0500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN00202023
CO

Other

Enumeration date
07/05/2013
Last updated
07/05/2013
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