Individual
DR. GREGORY REX BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 N JACKSON AVE, #211, SAN JOSE, CA 95116-1908
(408) 251-7901
(408) 251-0991
Mailing address
54 HERNANDEZ AVE, LOS GATOS, CA 95030-5806
(408) 354-4777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40415
CA
Other
Enumeration date
07/11/2007
Last updated
11/04/2009
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