Burleson Orthodontics And Pediatric Dentistry, Llc | |
401 Laurus Dr Raymore MO 64083 | |
(816) 318-8820 | |
Not Available |
Full Name | Burleson Orthodontics And Pediatric Dentistry, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 401 Laurus Dr, Raymore, Missouri |
Authorized Official Name and Position | Dustin Burleson (ORTHODONTIST, OWNER) |
Authorized Official Contact | 8163188820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burleson Orthodontics And Pediatric Dentistry, Llc 401 Laurus Dr Raymore MO 64083 Ph: (816) 318-8820 | Burleson Orthodontics And Pediatric Dentistry, Llc 401 Laurus Dr Raymore MO 64083 Ph: (816) 318-8820 |
NPI Number | 1871863431 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 01/12/2012 |
Identifier | Type | State | Issuer |
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1871863431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 2002013150 (Missouri) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2004013243 (Missouri) | Primary |
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