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1215627724
BENJAMIN BOUCHARD
IOWA CITY, IA
NPI
1215627724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA RES-30660)
Enumeration Date
2023-05-09
Last Update Date
2023-07-05
Business Address
BENJAMIN BOUCHARD DDS
801 NEWTON RD
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
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Mailing Address
BENJAMIN BOUCHARD DDS
322 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
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