CARL BOUCHARD DMD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1255597118- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, BOSTON, MA, 02114
- Phone
- (917) 726-2740
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: MA #D-22136