Individual
GREGORY BURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 AINSLEY CT, NEWTOWN, PA 18940-4230
(215) 497-8339
(215) 513-7192
Mailing address
10108 BUSTLETON AVE, PHILADELPHIA, PA 19116-3704
(215) 677-3904
(215) 354-9125
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS036098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101703527
—
PA
Enumeration date
12/13/2006
Last updated
06/17/2009
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