Darrell P. Bourg Jr. DDS

NPI #1740344225 in Marrero, Louisiana

Provider Information

NPI Number
1740344225
Entity Type
Organization
Organization Name
Darrell P. Bourg Jr. DDS
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 20, 2006
Last Updated
Aug 22, 2020

Practice Location

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

Authorized Official

Name
DR. DARRELL PAUL BOURG JR., DDS
Title
DENTIST
Phone
(504) 340-9696

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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