Individual
DR. ILBERT BOURANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
36000 SHOEMAKER LANE, SUITE 1051, FORT HOOD, TX 76544
(254) 287-3105
Mailing address
500 W HAMILTON AVE # 110394, CAMPBELL, CA 95008-0549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112048
CA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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