Organization
PATRICIA BURNESS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BURNESS (OWNER)
(586) 295-4488
Entity
Organization
Contact information
Practice address
1448 S GRATIOT AVE, MOUNT CLEMENS, MI 48043
(586) 954-3840
Mailing address
1448 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-6533
(586) 954-3840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154472959
—
MI
Enumeration date
06/16/2022
Last updated
06/16/2022
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