Individual
ANDREA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20000 KINGWOOD DR, KINGWOOD, TX 77339-3801
(281) 312-1721
Mailing address
20000 KINGWOOD DR, KINGWOOD, TX 77339-3801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19537
TX
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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