| Boucher Family Dentistry, Pllc | |
|
340 Lovell St Ionia MI 48846-9706 | |
| (616) 527-3050 | |
| (616) 527-3667 |
| Full Name | Boucher Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 340 Lovell St, Ionia, Michigan |
| Authorized Official Name and Position | Aaron Boucher (OWNER) |
| Authorized Official Contact | 6165273050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boucher Family Dentistry, Pllc Po Box 118 Ionia MI 48846-0118 Ph: (616) 527-3050 | Boucher Family Dentistry, Pllc 340 Lovell St Ionia MI 48846-9706 Ph: (616) 527-3050 |
| NPI Number | 1083346753 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083346753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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