| NPI | 1265647598 |
|---|---|
| Doing Business As | CHARLES J BURLISS DMD MSCD PC |
| Entity Type | Organization |
| Authorized Contact | CHARLES J BURLISS President 603-898-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NH 2529) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-01-29 |