Organization
DONALD A BOURBEAU DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ALFRED BOURBEAU DDS (PRESIDENT)
(248) 628-4050
Entity
Organization
Contact information
Practice address
837 SOUTH LAPEER ROAD, SUTIE 205, OXFORD, MI 48371-5084
(248) 628-4050
(248) 628-4051
Mailing address
PO BOX 640, OXFORD, MI 48371-0640
(248) 628-4050
(248) 628-4051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10939
MI
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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