Organization
BURNS DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN S BAUER (BUSINESS MANAGER)
(541) 573-7778
Entity
Organization
Contact information
Practice address
555 W ADAMS ST, BURNS, OR 97720-1408
(541) 573-7778
(541) 573-1191
Mailing address
555 W ADAMS ST, BURNS, OR 97720-1408
(541) 573-7778
(541) 573-1191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298818
—
OR
Enumeration date
11/30/2006
Last updated
08/22/2020
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