Timothy G. Bourdon, Dds, LLC

NPI #1356558845 in Pueblo, Colorado

Provider Information

NPI Number: 1356558845
Entity Type: Organization
Organization Name: Timothy G. Bourdon, Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 902 W 29TH ST
City: Pueblo
State: Colorado
ZIP Code: 81008-1159
Phone: (719) 542-1212

Authorized Official

Name: DR. TIMOTHY G BOURDON, DDS
Title: OWNER DENTIST
Phone: (719) 542-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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