Organization
WALTER H. BURGESS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER H BURGESS (DENTIST)
(334) 493-3501
Entity
Organization
Contact information
Practice address
104 E GUNTER AVE, OPP, AL 36467-1604
(334) 493-3501
(334) 493-3502
Mailing address
104 E GUNTER AVE, OPP, AL 36467-1604
(334) 493-3501
(334) 493-3502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5538
AL
Other
Enumeration date
03/30/2016
Last updated
04/05/2016
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