Individual
DR. DAVID R BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
57 MAIN ST, AKRON, NY 14001-1239
(716) 542-2895
(716) 542-6921
Mailing address
57 MAIN ST, AKRON, NY 14001-1239
(716) 542-2895
(716) 542-6921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37469
NY
Other
Enumeration date
06/01/2005
Last updated
01/14/2013
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