Individual
AMANDA BRIDGES BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 EASTGATE DR, BRANDON, MS 39042-2318
(601) 825-1105
Mailing address
22 EASTGATE DR, BRANDON, MS 39042-2318
(601) 825-1105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3661-12
MS
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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