Organization
BURGARDT FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BURGARDT D.D.S. (CEO)
(231) 843-9810
Entity
Organization
Contact information
Practice address
410 E LUDINGTON AVE, LUDINGTON, MI 49431-2123
(231) 843-9810
Mailing address
410 E LUDINGTON AVE, LUDINGTON, MI 49431-2123
(231) 843-9810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020039
MI
Other
Enumeration date
10/13/2010
Last updated
08/18/2014
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