Organization
BRADLEY D. BOURCY DDS MS AND RYAN D. HARBERTSON DDS MS
Active
Other names
David L. Tagge, D.D.S., M.S.D. and Bradley D. Bourcy, D.D.S., M.S., In
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D. HARBERTSON D.D.S., M.S. (OWNER/PARTNER)
(760) 741-4061
Entity
Organization
Contact information
Practice address
850 E. GRAND AVENUE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764
Mailing address
850 E. GRAND AVENUE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042637
CA
Other
Enumeration date
08/08/2006
Last updated
01/10/2014
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