Gordon Berry Burnett SR., DDS
NPI #1134203219 in College Park, Georgia
Provider Information
- NPI Number
- 1134203219
- Entity Type
- Individual
- Name
- Gordon Berry Burnett SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1895 PHOENIX BLVD
- Address 2
- SUITE 148
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-5533
- Phone
- (770) 997-4598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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