HANNA LAEL ROBIN DE BOURG

COSTA MESA, CA
NPI1487879110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  48096)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
Dr. HANNA LAEL ROBIN DE BOURG DMD
3105 HARBOR BLVD
COSTA MESA, CA 92626
Phone number: 310-922-2170
Mailing Address
Dr. HANNA LAEL ROBIN DE BOURG DMD
3105 HARBOR BLVD
COSTA MESA, CA 92626
Phone number: 310-922-2170