Organization · Type 2 NPI

Boucher Family Dentistry, PLLC

Dental Clinic/Center · Ionia, MI

NPI number 1083346753 Active

Practice location

340 Lovell St
Ionia, MI 48846-9706

Fax (616) 527-3667

Mailing address

PO Box 118
Ionia, MI 48846-0118

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1083346753

Boucher Family Dentistry, PLLC's National Provider Identifier is 1083346753, issued on Jun 30, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ionia, MI. The record was last updated on Jun 30, 2022.