GREGORY W. BOUCEK

MEMPHIS, TN
NPI1649341975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  DS4523)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
-- GREGORY W. BOUCEK DDS
5382 ESTATE OFFICE DR
MEMPHIS, TN 38119-3635
Phone number: 901-767-4270
Mailing Address
-- GREGORY W. BOUCEK DDS
5382 ESTATE OFFICE DR
MEMPHIS, TN 38119-3635
Phone number: 901-767-4270