Organization
DOUGLAS W BURGESS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WILFORD BURGESS DDS (OWNER)
(507) 625-7550
Entity
Organization
Contact information
Practice address
730 E MADISON AVE, MANKATO, MN 56001-6100
(507) 625-7550
(507) 388-3353
Mailing address
730 E MADISON AVE, MANKATO, MN 56001-6100
(507) 625-7550
(507) 388-3353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7404
MN
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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