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1114045747
JERRY WATSON BURGESS
GRAPEVINE, TX
NPI
1114045747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 9032)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. JERRY WATSON BURGESS dds
1105 W WALL ST
GRAPEVINE, TX 76051-5152
Phone number: 817-481-4717
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Mailing Address
Dr. JERRY WATSON BURGESS dds
1105 W WALL ST
GRAPEVINE, TX 76051-5152
Phone number: 817-481-4717
Copy
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