| NPI | 1285123471 |
|---|---|
| Other Name | JOHN P BURGESS DDS |
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK BURGESS Owner 304-346-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 1038-9730) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |