Organization
BOURESSA DENTAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BOURESSA DDS (PRESIDENT)
(920) 725-3033
Entity
Organization
Contact information
Practice address
1416 S COMMERCIAL ST, NEENAH, WI 54956-4664
(920) 725-3033
(920) 725-5098
Mailing address
1416 S COMMERCIAL ST, NEENAH, WI 54956-4664
(920) 725-3033
(920) 725-5098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002124-015
WI
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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