Organization
BRANDY L BURGESS, DDS, MS, LLC
Active
Other names
Burgess Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDY BURGESS DDS (ORTHODONTIST)
(636) 223-7123
Entity
Organization
Contact information
Practice address
1276 MAIN ST, IMPERIAL, MO 63052-3861
(636) 223-7123
Mailing address
1276 MAIN ST, IMPERIAL, MO 63052-3861
(636) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2006016233
MO
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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