Organization
BURLINGAME ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L BURLINGAME D.M.D.,M.S. (OWNER)
(518) 885-9473
Entity
Organization
Contact information
Practice address
220 CHURCH AVE, SUITE 2, BALLSTON SPA, NY 12020-3613
(518) 885-9473
(518) 885-1212
Mailing address
220 CHURCH AVE, SUITE 2, BALLSTON SPA, NY 12020-3613
(518) 885-9473
(518) 885-1212
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0548881
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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