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Organization

ANDRE BURGESS, DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDRE BURGESS D.D.S. (PRESIDENT)
(310) 671-1234
Entity
Organization

Contact information

Practice address
808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914
(310) 671-1234
Mailing address
808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60360
CA

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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