Burgess, Clarissa
Burgess, Clarissa is an individual health care provider with primary practice located at 2700 Farmington Ave Ste C, Farmington NM 87401-4559. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Burgess, Clarissa can be contacted via phone (505) 325-9133.Contact Information
Primary practice address
2700 Farmington Ave Ste C
Farmington NM 87401-4559
Phone: (505) 325-9133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD3324 | New Mexico |
Profile Details
| NPI number | 1326350356 |
|---|---|
| LBN Legal business name | Burgess, Clarissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2010 |
| Last updated | Aug 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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