Boudry, Tammy Marie

Boudry, Tammy Marie is an sole proprietor health care provider with primary practice located at 133 Parkway Ct , Fond Du Lac WI 54935-3809. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Boudry, Tammy Marie can be contacted via phone (920) 921-0158.

Contact Information

Primary practice address
133 Parkway Ct Fond Du Lac WI 54935-3809
Phone: (920) 921-0158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6050 - 15 Wisconsin

Profile Details

NPI number 1548489966
LBN Legal business name Boudry, Tammy Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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