Exceptional Dental of Marrero

NPI #1134284789 in Marrero, Louisiana

Provider Information

NPI Number
1134284789
Entity Type
Organization
Organization Name
Exceptional Dental of Marrero
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 26, 2006
Last Updated
Dec 8, 2015

Practice Location

Address
2521 AMES BLVD STE C
ZIP Code
70072-5154
Phone
(504) 340-9696

Authorized Official

Name
DR. DARRELL PHILIP BOURG JR., DDS
Title
DENTIST
Phone
(504) 232-6624

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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