Individual
DR. WALTER H BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 E GUNTER AVE, OPP, AL 36467-1604
(334) 493-3501
(334) 493-3502
Mailing address
104 E GUNTER AVE, OPP, AL 36467-1604
(334) 493-3501
(334) 493-3502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5538
AL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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