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Organization

FREDERICK M BOURGEOIS, DMD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK M BOURGEOIS DMD (DENTIST)
(603) 893-4538
Entity
Organization

Contact information

Practice address
32 STILES RD, SUITE 205, SALEM, NH 03079-2892
(603) 893-4538
Mailing address
32 STILES RD, SUITE 205, SALEM, NH 03079-2892
(603) 893-4538

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/03/2007
Last updated
10/03/2007
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