Individual
DR. DALE A BURGDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6190 LYNDON B JOHNSON FWY, #100, DALLAS, TX 75240-6344
(972) 386-7513
(972) 490-8282
Mailing address
6190 LYNDON B JOHNSON FWY, #100, DALLAS, TX 75240-6344
(972) 386-7513
(972) 490-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12174
TX
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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