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Individual

DR. WILLIAM L BOURASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
555 TURNPIKE ST, SUITE 51, NORTH ANDOVER, MA 01845-5923
(978) 685-4055
(978) 685-2040
Mailing address
30 ALGONQUIN AVE, ANDOVER, MA 01810-5528
(978) 685-4055
(978) 685-2040

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12332
MA

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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