DARRELL P BOURG

MARRERO, LA
NPI1215053558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5312)
Enumeration Date2007-03-21
Last Update Date2021-02-08
Business Address
Dr. DARRELL P BOURG D.D.S.
2521 AMES BLVD., STE. C
MARRERO, LA 70072-5154
Phone number: 504-340-9696
Mailing Address
Dr. DARRELL P BOURG D.D.S.
2521 AMES BLVD., STE. C
MARRERO, LA 70072-5154
Phone number: 504-340-9696
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