Individual
ANNA MARIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14228 BARBOUR AVE, OKLAHOMA CITY, OK 73134-3410
(405) 752-5437
Mailing address
735 NE 14TH ST, OKLAHOMA CITY, OK 73104-4622
(580) 695-0597
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4682
OK
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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