Individual
DR. FREDERICK M BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
43 BRIDGE ST, PELHAM, NH 03076
(603) 635-2151
(603) 635-9924
Mailing address
15 IRON HORSE DR APT G310, BEDFORD, NH 03110
(603) 606-1181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17891
MA
122300000X
Dentist
Primary
3390
NH
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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