Susan F. Burgess D.m.d., PC

NPI #1558505073 in Elmhurst, Illinois

Provider Information

NPI Number: 1558505073
Entity Type: Organization
Organization Name: Susan F. Burgess D.m.d., PC
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2009
Last Updated: May 4, 2009

Practice Location

Address: 360 WEST BUTTERFIELD ROAD
Address 2: SUITE 210
City: Elmhurst
State: Illinois
ZIP Code: 60126-5000
Phone: (630) 834-2270

Authorized Official

Name: DR. SUSAN F. BURGESS, D.M.D.
Title: PRESIDENT
Phone: (630) 834-2270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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