CHARLES J BURLISS DMD MSCD PC
Ambulatory Health at Stiles Rd, Salem, NH

License number
New Hampshire 2529
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. CHARLES J BURLISS DMD MSCD
Title: PRESIDENT
Phone: (603) 898-1961
Address
Address
12 Stiles Rd STE 203, Salem, NH 03079
National Provider ID: 1265647598
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES J. BURLISS, DMD, MSCD, PC

29 Stiles Rd S201, Salem, NH 03079

Registration:
Dec 7, 2000
State ID:
365306
Business type:
Professional Association - Domestic
Agent:
Esq Dibrigida,1000 Elm St, Manchester, NH 03101 (Physical)

Ambulatory Health licenses in New Hampshire






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