Organization
DAVID R. BOURQUE, D.D.S. , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT BOURQUE D.D.S. (PRESIDENT)
(716) 693-1971
Entity
Organization
Contact information
Practice address
6 DOUBLEDAY COURT, NORTHERN CATSKILL DENTAL ASSOCIATES, COOPERSTOWN, NY 13326-1223
(607) 547-2313
(607) 547-6251
Mailing address
3184 WOODLAND CT N, N TONAWANDA, NY 14120-1153
(716) 693-1971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37469
NY
Other
Enumeration date
06/12/2007
Last updated
06/01/2010
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