Eric Boucher, D.M.D. Valid NPI
Individual provider · Dentist · Louisville, CO
- NPI
- 1235579269
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DEN00202023 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-07-05
- Last updated
- 2013-07-05
Practice location
339 Mccaslin Blvd Ste B
Louisville, CO 80027-2914
(303) 673-0500