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Individual

JACOB BOURGET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
923 NASHVILLE PIKE STE A, GALLATIN, TN 37066-4384
(615) 241-8022
Mailing address
1019 CAROLYN AVE, NASHVILLE, TN 37216-3611

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10384
TN

Other

Enumeration date
05/30/2016
Last updated
03/29/2018
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