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Organization
BURRUS DENTISTRY PC
Active
Organization
BURRUS DENTISTRY PC
Active
Other names
Pediatric Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE POREMSKI BURRUS DDS (PEDIATRIC DENTIST)
(541) 923-8666
Entity
Organization
Contact information
Practice address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(541) 923-8666
Mailing address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(541) 923-8666
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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