BRIAN LEE BOUCK

WATERLOO, IA
NPI1073757910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  6490)
Enumeration Date2009-04-22
Last Update Date2009-04-22
Business Address
Dr. BRIAN LEE BOUCK DDS
315 E SAN MARNAN DR
WATERLOO, IA 50702-5837
Phone number: 319-235-6287
Mailing Address
Dr. BRIAN LEE BOUCK DDS
315 E SAN MARNAN DR
WATERLOO, IA 50702-5837
Phone number: 319-235-6287
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