DR. Julissa E Burgos, DMD

NPI #1417570250 in Stafford, Virginia

Provider Information

NPI Number: 1417570250
Entity Type: Individual
Name: DR. Julissa E Burgos, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 27, 2020
Last Updated: Feb 10, 2025

Practice Location

Address: 963 GARRISONVILLE RD STE 103
City: Stafford
State: Virginia
ZIP Code: 22556-3914
Phone: (540) 699-2441

Specialties & Taxonomy Codes

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

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