Tara Burgess, DDS

NPI #1104200138 in Lake Jackson, Texas

Provider Information

NPI Number: 1104200138
Entity Type: Individual
Name: Tara Burgess, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 205 PARKING WAY ST
City: Lake Jackson
State: Texas
ZIP Code: 77566-5226
Phone: (979) 297-1128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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