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Organization
PORTEOUS & BURKE DENTAL CORPORATION
Active
Organization
PORTEOUS & BURKE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DANIELLE PORTEOUS-BURKE DR. (DR., OWNER)
(510) 799-4746
Entity
Organization
Contact information
Practice address
667 PARKER AVE, RODEO, CA 94572-1434
(510) 799-4746
(510) 799-5475
Mailing address
667 PARKER AVE, RODEO, CA 94572-1434
(510) 799-4746
(510) 799-5475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56949
CA
Other
Enumeration date
10/08/2009
Last updated
01/06/2011
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