| NPI | 1710343504 |
|---|---|
| Doing Business As | BURGESS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRANDY BURGESS Orthodontist 636-223-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2006016233) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |