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1316786148
BRYAN BOUCHARD
BANGOR, ME
NPI
1316786148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME DEN5140)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
Dr. BRYAN BOUCHARD DMD
700 MOUNT HOPE AVE STE 610
BANGOR, ME 04401-5673
Phone number: 207-945-5952
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Mailing Address
Dr. BRYAN BOUCHARD DMD
592 MUDGETT RD
LEVANT, ME 04456-4146
Phone number:
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