Individual
LAWRENCE CURTIS BOUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12964 ROE RD NE, BAINBRIDGE ISLAND, WA 98110-1204
(206) 780-2642
Mailing address
12964 ROE RD NE, BAINBRIDGE ISLAND, WA 98110-1204
(206) 780-2642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
113
HI
122300000X
Dentist
Primary
4427
WA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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