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Organization
KERIN L. BURDETTE, DDS, LLC
Active
Organization
KERIN L. BURDETTE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERIN L. BURDETTE D.D.S. (DENTIST)
(314) 653-0922
Entity
Organization
Contact information
Practice address
500 NORTHWEST PLZ, SUITE 524, SAINT ANN, MO 63074-2209
(314) 739-7900
Mailing address
841 VISTA POINTE DR, SAINT LOUIS, MO 63138-3849
(314) 653-0922
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015946
MO
261QD0000X
Dental Clinic/Center
5170
AZ
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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