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Dr. Liberty Ann Boucher, DDS
General Practice Dentistry in Glendale, Wisconsin
NPI 1114183126

Liberty Ann Boucher is a General Practice Dentistry based in Shorewood, WI and is specialized in General Practice. Liberty Ann Boucher practices in Glendale, WI and has the professional credentials of DDS. The NPI Number for Liberty Ann Boucher is 1114183126 and holds a License No. 6297-15 (Wisconsin).

The current practice location address for Liberty Ann Boucher is 7040 N Port Washington Rd, Glendale, WI and can be reached out via phone at 414-351-6010.

Location: 7040 N Port Washington Rd, Glendale, WI, 53211-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114183126
Provider Name
Liberty Ann Boucher
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
7040 N Port Washington Rd, Glendale, WI, 53211-2127
Phone Number
414-351-6010
Fax Number
Provider Enumeration Date
07/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7040 N Port Washington Rd
City
Glendale
State
Wisconsin
Zip
53217-3838
Phone Number
414-351-6010
Fax Number
person
Provider Business Mailing Address Details
Address
7040 N Port Washington Rd
City
Glendale
State
Wisconsin
Zip
53217-3838
Phone Number
414-351-6010
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6297-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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