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1649355280
CHARLES M BURGESS
OPP, AL
NPI
1649355280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3319)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. CHARLES M BURGESS DMD
104 E GUNTER AVE
OPP, AL 36467-1604
Phone number: 334-493-3501
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Mailing Address
Dr. CHARLES M BURGESS DMD
104 E GUNTER AVE
OPP, AL 36467-1604
Phone number: 334-493-3501
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