Individual
CHAD BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 VISTA WAY, SUITE 202, OCEANSIDE, CA 92056-4559
(760) 216-3600
Mailing address
780 SETTLERS CT, SAN MARCOS, CA 92069-1961
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
48788
CA
Other
Enumeration date
10/26/2006
Last updated
04/25/2011
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