Organization
BURLESON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M JAMISON D.D.S. (OWNER)
(817) 447-7474
Entity
Organization
Contact information
Practice address
1161 SW WILSHIRE BLVD, BURLESON, TX 76028-5707
(817) 447-7474
Mailing address
1161 SW WILSHIRE BLVD STE 110, BURLESON, TX 76028-5708
(817) 447-7474
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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