Organization
EDWARD G. BURNETT JR. D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GUEST BURNETT JR. DDS (PRESIDENT)
(336) 760-4304
Entity
Organization
Contact information
Practice address
1900 S HAWTHORNE RD, STE 552, WINSTON SALEM, NC 27103-3913
(336) 760-4304
(336) 765-0124
Mailing address
1900 S HAWTHORNE RD, STE 552, WINSTON SALEM, NC 27103-3913
(336) 760-4304
(336) 765-0124
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3900
NC
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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