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The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI # | 1265647598 |
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| LBN Legal business name | CHARLES J BURLISS DMD MSCD PC | ||||
| Authorized official | CHARLES BURLISS - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/11/2007 | ||||
| Last updated | 01/29/2008 - About 18 years ago | ||||
| Identifiers |
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CHARLES J BURLISS DMD MSCD PC
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CHARLES J BURLISS DMD MSCD PC