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Individual

DR. JEFFREY ERIC BURSTEIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
41074 SEVEN MILE RD, SUITE B, NORTHVILLE, MI 48167
(248) 347-0707
(248) 305-9016
Mailing address
41074 SEVEN MILE RD, SUITE B, NORTHVILLE, MI 48167
(248) 347-0707
(248) 305-9016

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13591
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13591
DENTAL LICENSE NUMBER
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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