| NPI | 1124380100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN J BOUCHARD Owner 202-863-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC 3463) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |