Individual
NORMAND S BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
333 W LANCASTER AVE, WAYNE, PA 19087-3904
(610) 688-3355
Mailing address
333 W LANCASTER AVE, WAYNE, PA 19087-3904
(610) 688-3355
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS022795L
PA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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