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Marcel Bouchard, DMD
NPI 1437267218 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5659 W 8th St Unit 204
Los Angeles, CA 90036 - Phone
- (310) 560-1679
- Organisation at this address
- Thrive Sports And Wellness
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California