Individual
JEFF S BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
678 E VINE ST, 12, MURRAY, UT 84107
(801) 268-1135
(801) 685-7630
Mailing address
9161 S WEDGEFIELD DR, SANDY, UT 84093
(801) 268-1135
(801) 685-7630
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5096414
UT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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