Organization
KERIN L. BURDETTE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERIN L. BURDETTE D.D.S. (DENTIST)
(314) 653-0922
Entity
Organization
Contact information
Practice address
500 NORTHWEST PLZ, SUITE 524, SAINT ANN, MO 63074-2209
(314) 739-7900
Mailing address
841 VISTA POINTE DR, SAINT LOUIS, MO 63138-3849
(314) 653-0922
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015946
MO
261QD0000X
Dental Clinic/Center
5170
AZ
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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