Organization
NORTH PORT ORAL SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRIS BURNE D.M.D. (SURGEON/CEO)
(941) 423-1750
Entity
Organization
Contact information
Practice address
2787 SYCAMORE ST, BUILDING F, SUITE 106, NORTH PORT, FL 34289
(941) 423-1750
(941) 423-2005
Mailing address
2787 SYCAMORE ST, BUILDING F, SUITE 106, NORTH PORT, FL 34289
(941) 423-1750
(941) 423-2005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18166
FL
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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