LIBERTY ANN BOUCHER

GLENDALE, WI
NPI1114183126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6297-15)
Enumeration Date2008-07-30
Last Update Date2008-07-30
Business Address
Dr. LIBERTY ANN BOUCHER DDS
7040 N PORT WASHINGTON RD
GLENDALE, WI 53217-3838
Phone number: 414-351-6010
Mailing Address
Dr. LIBERTY ANN BOUCHER DDS
4037 N DOWNER AVE
SHOREWOOD, WI 53211-2127
Phone number: 414-418-2280