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Darrell Bourg, D.D.S
NPI 1215053558 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2521 Ames Blvd., Ste. C
Marrero, LA 70072 - Phone
- (504) 340-9696
- Fax
- (504) 340-7207
- Organisation at this address
- Darrell P. Bourg Jr. Dds
Exceptional Dental Of MarreroInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana