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Contact Information

CLARISSA BURGESS
2700 FARMINGTON AVE
STE C
FARMINGTON, NM87401-4559
 Phone: 505-325-9133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CLARISSA BURGESS · (Female)

NPI Number 1326350356
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2010
Last updated 08/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD3324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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