Organization
BOURQUEIN LLC
Active
Other names
Robert K Bourquein Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT K BOURQUEIN DDS (OWNER)
(830) 990-0333
Entity
Organization
Contact information
Practice address
1026 S ADAMS ST, FREDERICKSBURG, TX 78624-5002
(830) 990-0333
(830) 990-9200
Mailing address
1026 S ADAMS ST, FREDERICKSBURG, TX 78624-5002
(830) 990-0333
(830) 990-9200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13439
TX
Other
Enumeration date
01/12/2016
Last updated
01/25/2016
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