| NPI | 1881742591 |
|---|---|
| Doing Business As | BOURNE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JULIE A GELNETT President 508-564-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20532) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |