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DR. DAVID MICHAEL BURNETTE DDS

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1033193693

Individual Registrant:
DR. DAVID MICHAEL BURNETTE DDS
Gender: M

Location and contact information for practice:
3295 FORNEY ST  FORT JACKSON, SC 29207-5604 US
Tel: 803-751-6213  Fax: 803-751-6886

Contact information for business:
3295 FORNEY ST  FORT JACKSON, SC 29207-5604 US
Tel: 803-751-6213  Fax: 803-751-6886

Registration Information:
NPI: 1033193693
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
CODEN-106345

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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