Individual
DR. GARY M. BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1380 112TH AVE NE, SUITE 203, BELLEVUE, WA 98004-3759
(425) 454-2211
(425) 454-9732
Mailing address
1380 112TH AVE NE, SUITE 203, BELLEVUE, WA 98004-3759
(425) 454-2211
(425) 454-9732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005819
WA
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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