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Individual

JANET LAVON BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP, BS

Contact information

Practice address
1560 PEPPER DR, EL CENTRO, CA 92243-4124
(760) 332-9253
Mailing address
2328 BOUGAINVILLEA TRL, IMPERIAL, CA 92251-8965
(760) 332-9253
(760) 370-9235

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 494
CA

Other

Enumeration date
07/11/2014
Last updated
08/14/2014
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