Individual
DR. KERRI A BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1864 CENTRE ST STE 2, WEST ROXBURY, MA 02132-1919
(617) 390-5371
Mailing address
69 WOODSIDE LN, ARLINGTON, MA 02474-2152
(781) 646-9894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22202
MA
Other
Enumeration date
08/10/2007
Last updated
08/26/2019
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