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Organization
NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD
Active
Organization
NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD
Active
Other names
Burnley Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA UBALDE BURNLEY D.D.S.,D.M.D. (OWNER)
(702) 891-0079
Entity
Organization
Contact information
Practice address
5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 891-0079
(702) 891-0455
Mailing address
5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 891-0079
(702) 891-0455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1022
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022
STATE DENTAL LICENSE NO.
NV
01
—
885552
UNITED CONCORDIA PROVIDER
NV
Enumeration date
05/04/2007
Last updated
08/22/2020
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