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Individual

DR. HANNAH GABRIELLE BOURQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
102 GENEVIEVE DR, LAFAYETTE, LA 70503-4811
(337) 849-8426
Mailing address
407 MILL POND DRIVE, YOUNGSVILLE, LA 70592
(337) 849-8426

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7522
LA

Other

Enumeration date
05/28/2024
Last updated
05/28/2024
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