| Burlingame Orthodontics, Pllc | |
|
220 Church Ave Suite 2 Ballston Spa NY 12020-3613 | |
| (518) 885-9473 | |
| (518) 885-1212 |
| Full Name | Burlingame Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 220 Church Ave, Ballston Spa, New York |
| Authorized Official Name and Position | Michelle L Burlingame (OWNER) |
| Authorized Official Contact | 5188859473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burlingame Orthodontics, Pllc 220 Church Ave Suite 2 Ballston Spa NY 12020-3613 Ph: (518) 885-9473 | Burlingame Orthodontics, Pllc 220 Church Ave Suite 2 Ballston Spa NY 12020-3613 Ph: (518) 885-9473 |
| NPI Number | 1407125578 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407125578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0548881 (New York) | Primary |
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