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Organization
THEODORE BURNETT, DDS, INC
Active
Organization
THEODORE BURNETT, DDS, INC
Active
Other names
Los Angeles Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE BURNETT DDS (OWNER/DENTIST)
(310) 670-0379
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, SUITE 918, LOS ANGELES, CA 90045-3807
(310) 670-0379
(310) 670-0922
Mailing address
8540 S SEPULVEDA BLVD, SUITE 918, LOS ANGELES, CA 90045-3807
(310) 670-0379
(310) 670-0922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36342
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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