Individual
DR. CHRISTIE RACHELLE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 710, LOS ANGELES, CA 90045-3818
(310) 270-8143
Mailing address
8540 S SEPULVEDA BLVD STE 710, LOS ANGELES, CA 90045-3818
(310) 270-8143
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D47352
DENTICAL
CA
Enumeration date
02/26/2007
Last updated
12/19/2017
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