| Exceptional Dental Of Marrero | |
|
2521 Ames Blvd Ste C Marrero LA 70072-5154 | |
| (504) 340-9696 | |
| (504) 340-7207 |
| Full Name | Exceptional Dental Of Marrero |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2521 Ames Blvd Ste C, Marrero, Louisiana |
| Authorized Official Name and Position | Darrell Philip Bourg (DENTIST) |
| Authorized Official Contact | 5042326624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Marrero 2521 Ames Blvd Ste C Marrero LA 70072-5154 Ph: (504) 340-9696 | Exceptional Dental Of Marrero 2521 Ames Blvd Ste C Marrero LA 70072-5154 Ph: (504) 340-9696 |
| NPI Number | 1134284789 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134284789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5312 (Louisiana) | Primary |
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