Individual
DR. ANDY RAY BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
BUILDING H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-2569
Mailing address
101 WESTMINSTER HWY, WESTMINSTER, SC 29693-1427
(864) 647-2425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4190
SC
Other
Enumeration date
09/20/2007
Last updated
02/03/2009
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