DR. JACQUELINE BOURDETTE, D.M.D.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1538166517
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | D6350 (OR) |
Frequently Asked Questions
NPI 1538166517 is the National Provider Identifier for DR. JACQUELINE BOURDETTE, D.M.D., a Dentist - Pediatric Dentistry provider located in Portland, OR. This NPI was enumerated on July 5, 2005.
DR. JACQUELINE BOURDETTE, D.M.D. practices at 2350 SW MULTNOMAH BLVD, SUITE J, Portland, OR 97219.
Quick Facts
- NPI
- 1538166517
- Type
- Individual
- Enumerated
- Jul 5, 2005
- Last Updated
- Jul 8, 2007
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