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Organization

RODNEY P BURTON DDS INC

Active
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Organization

RODNEY P BURTON DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY P BURTON DDS (PRESIDENT)
(805) 494-1500
Entity
Organization

Contact information

Practice address
75 LONG CT, SUITE 200, THOUSAND OAKS, CA 91360-6039
(805) 494-1500
(805) 435-1809
Mailing address
75 LONG CT, SUITE 200, THOUSAND OAKS, CA 91360-6039
(805) 494-1500
(805) 435-1809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33554
CA
332BC3200X
Customized Equipment (DME)
33554
CA

Other

Enumeration date
10/17/2012
Last updated
11/20/2012
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