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Individual

DR. MICHELLE L BURLINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D., M.S.

Contact information

Practice address
220 CHURCH AVE, SUITE #2, BALLSTON SPA, NY 12020-3613
(518) 248-2478
Mailing address
220 CHURCH AVE, SUITE #2, BALLSTON SPA, NY 12020-3613
(518) 885-9473
(518) 885-1212

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054888-1
NY

Other

Enumeration date
06/23/2010
Last updated
08/24/2010
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