Individual
DR. JULISSA E BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
963 GARRISONVILLE RD STE 103, STAFFORD, VA 22556-3914
(540) 699-2441
Mailing address
10510 RIDGE COVE LN, SPOTSYLVANIA, VA 22551-4720
(561) 806-9766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417866
VA
Other
Enumeration date
05/27/2020
Last updated
02/10/2025
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