# DRS BURAU PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619036613
- **Authorized official:** DR. BRADLEY ALLEN BURAU DDS (CO-OWNER)
- **Authorized official phone:** (810) 694-8244

## Contact information

- **Practice address:** 240 E GRAND BLANC RD, GRAND BLANC, MI 48439
- **Practice address phone:** (810) 694-8244
- **Practice address fax:** (810) 694-4285
- **Mailing address:** 240 E GRAND BLANC RD, GRAND BLANC, MI 48439
- **Mailing address phone:** (810) 694-8244
- **Mailing address fax:** (810) 694-4285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901015019 | MI | — |
| 122300000X | Dentist | 2901015751 | MI | Yes |
| 122300000X | Dentist | 2901017041 | MI | — |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 08/22/2020