Individual
DR. NORMAN J. BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
412 1ST ST SE, 2ND FLOOR, REAR BLDG, WASHINGTON, DC 20003-1804
(202) 863-1600
Mailing address
412 1ST ST SE, 2ND FLOOR, REAR BLDG, WASHINGTON, DC 20003-1804
(202) 863-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
003463
DC
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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