Individual
DR. ELLIOTT TAYLOR BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4010 PARK RD, CHARLOTTE, NC 28209-2272
(704) 525-3939
Mailing address
461 WINDSOR PARK RD, KERNERSVILLE, NC 27284-7014
(336) 816-1027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9287
NC
Other
Enumeration date
06/19/2012
Last updated
02/03/2014
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