BENJAMIN BOUCHARD

IOWA CITY, IA
NPI1215627724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA  RES-30660)
Enumeration Date2023-05-09
Last Update Date2023-07-05
Business Address
BENJAMIN BOUCHARD DDS
801 NEWTON RD
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
Mailing Address
BENJAMIN BOUCHARD DDS
322 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
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