J Mark Burnett DDS Ps
NPI #1679679674 in University Place, Washington
Provider Information
- NPI Number
- 1679679674
- Entity Type
- Organization
- Organization Name
- J Mark Burnett DDS Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2603 BRIDGEPORT WAY W
- Address 2
- SUITE I
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4724
- Phone
- (253) 565-1181
Authorized Official
- Name
- J MARK BURNETT, DDS
- Title
- DENTIST
- Phone
- (253) 565-1181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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