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Organization
H. DE BOURG DMD, INC.
Active
Organization
H. DE BOURG DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA CONTRERAS (OFFICE MANAGER)
(714) 935-0029
Entity
Organization
Contact information
Practice address
2401 W CHAPMAN AVE STE 203, ORANGE, CA 92868-2327
(714) 935-0020
Mailing address
2401 W CHAPMAN AVE STE 203, ORANGE, CA 92868-2327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48096
CA
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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