Individual
DONALD H BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1679 CROOKED OAK DRIVE, LANCASTER, PA 17601-4207
(717) 569-0474
Mailing address
1679 CROOKED OAK DRIVE, LANCASTER, PA 17601-4207
(717) 569-0474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030263L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332347
UNITED CONCORDIA
PA
Enumeration date
10/05/2006
Last updated
07/08/2007
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