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1689042467
KEVIN D. BURGDORF DDS LLC
BRIDGETON, MO
NPI
1689042467
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Entity Type
Organization
Authorized Contact
KEVIN D BURGDORF
Owner
314-291-9000
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2009008266)
Enumeration Date
2015-09-10
Last Update Date
2015-09-10
Business Address
KEVIN D. BURGDORF DDS LLC
12266 DEPAUL DRIVE SUITE 325
BRIDGETON, MO 63044-2514
Phone number: 314-291-9000
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Mailing Address
KEVIN D. BURGDORF DDS LLC
12266 DEPAUL DRIVE SUITE 325
BRIDGETON, MO 63044-2514
Phone number: 314-291-9000
Copy
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