| C. Edmund Burton Dds Pc | |
|
1185 Dean Street Brooklyn NY 11216-5607 | |
| (718) 756-7555 | |
| (718) 771-6007 |
| Full Name | C. Edmund Burton Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1185 Dean Street, Brooklyn, New York |
| Authorized Official Name and Position | Clarence Edmund Burton (DENTIST) |
| Authorized Official Contact | 7187567555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Edmund Burton Dds Pc 1185 Dean Street Brooklyn NY 11216-5607 Ph: (718) 756-7555 | C. Edmund Burton Dds Pc 1185 Dean Street Brooklyn NY 11216-5607 Ph: (718) 756-7555 |
| NPI Number | 1659628170 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659628170 | NPI | - | NPPES |
| 160-990-7807 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 032492 (New York) | Primary |
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