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1104200138
TARA BURGESS
LAKE JACKSON, TX
NPI
1104200138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 31201)
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- TARA BURGESS DDS
205 PARKING WAY ST
LAKE JACKSON, TX 77566-5226
Phone number: 979-297-1128
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Mailing Address
-- TARA BURGESS DDS
2121 HEPBURN ST APT 309
HOUSTON, TX 77054-3217
Phone number: 281-636-1742
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