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Individual

DR. WILLIAM D BURNETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7520 MONTGOMERY BLVD NE, SUITE D2, ALBUQUERQUE, NM 87109-1521
(505) 883-4865
(505) 881-0113
Mailing address
7520 MONTGOMERY BLVD NE, SUITE D2, ALBUQUERQUE, NM 87109-1521
(505) 883-4865
(505) 881-0113

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1773
NM

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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