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Individual

DR. A G BURRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
960 RIBAUT RD, SUITE 2, BEAUFORT, SC 29902-5431
(843) 525-6228
(843) 524-4468
Mailing address
960 RIBAUT RD, SUITE 2, BEAUFORT, SC 29902-5431
(843) 525-6228
(843) 524-4468

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1615
SC

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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