Individual
JERRY L. BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3555 DELAWARE ST, BEAUMONT, TX 77706-3033
(409) 898-3388
(409) 898-2673
Mailing address
3555 DELAWARE ST, BEAUMONT, TX 77706-3033
(409) 898-3388
(409) 898-2673
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12101
TX
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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