Individual
DR. GRAYSON JOHN BURGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13260 N 94TH DR STE 410, PEORIA, AZ 85381-4241
(620) 260-5655
Mailing address
6519 E BLUEFIELD AVE, PHOENIX, AZ 85054-6741
(620) 260-5655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28733
TX
1223P0300X
Periodontics
Primary
D010692
AZ
Other
Enumeration date
04/12/2013
Last updated
06/16/2020
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