Most Relevant Information
Provider Data
| NPI Number: | 1003812470 |
| Provider Name: | DRU BART BOURLAND D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D18681 |
Most Important Dates
| Enumeration Date: | 06/22/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4601 BUFFALO GAP RD
STE D1
ABILENE
TX
796063364
Practice Location Phone/Fax
| Phone: | 3256953300 |
| Fax: | 3256959899 |
Provider Mailing Location
4601 BUFFALO GAP RD
STE D1
ABILENE
TX
796063364
Provider Mailing Phone/Fax
| Phone: | 3256953300 |
| Fax: | 3256959899 |