Individual
DR. MADIGAN RAE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
405 CAPITOL ST, THE PARLOR SUITE, CHARLESTON, WV 25301-1749
(304) 346-4820
(304) 346-4842
Mailing address
405 CAPITOL ST, THE PARLOR SUITE, CHARLESTON, WV 25301-1749
(304) 346-4820
(304) 346-4842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4014
WV
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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