Douglas Wilford Burgess, DDS PA

NPI #1003907122 in Mankato, Minnesota

Provider Information

NPI Number: 1003907122
Entity Type: Individual
Name: Douglas Wilford Burgess, DDS PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS PA
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 730 MADISON AVENUE
City: Mankato
State: Minnesota
ZIP Code: 56001
Phone: (507) 625-7550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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