DR. Carole S Burgess-Fongsam, DDS

NPI #1134447717 in Sandy Spring, Maryland

Provider Information

NPI Number: 1134447717
Entity Type: Individual
Name: DR. Carole S Burgess-Fongsam, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 6, 2010
Last Updated: Mar 14, 2016

Practice Location

Address: 17810 MEETING HOUSE RD
Address 2: MOORE BLDG # 205
City: Sandy Spring
State: Maryland
ZIP Code: 20860-1038
Phone: (301) 774-3847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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