Organization
CHARLES J BURLISS DMD MSCD PC
Active
Other names
CHARLES J BURLISS DMD MScD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J BURLISS DMD MSCD (PRESIDENT)
(603) 898-1961
Entity
Organization
Contact information
Practice address
12 STILES RD STE 203, SALEM, NH 03079-2881
(603) 898-1961
Mailing address
12 STILES RD STE 203, SALEM, NH 03079-2881
(603) 898-1961
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2529
NH
Other
Enumeration date
05/11/2007
Last updated
01/29/2008
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