Darrell P. Bourg Jr DDS
Darrell P. Bourg Jr DDS is a General Practice Dentistry in Marrero, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
2521 Ames Blvd Ste CMarrero, LA 70072-5154
Phone: (504) 340-9696
Fax: (504) 340-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5747 (LA) |
|---|
Record details
| NPI number | 1740344225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darrell Bourg — Dentist · (504) 340-9696 |
| Other names | Louisiana Dental Spa |
| NPI enumerated | December 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 21 San Carlos Ave, Jefferson, LA 70121-2240 |
Other providers in Marrero
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Dr. Darrell P Bourg Jr., DDS
2521 Ames Blvd Ste C, Marrero, LA 70072-5154 · (504) 340-9696
-
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Dr. Justin Michael Cunningham, DDS
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Exceptional Dental of Marrero
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