Individual
MR. TERRY J BURPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
204 N COMMERCE, CRANE, MO 65633
(417) 723-1723
(417) 723-8540
Mailing address
PO BOX 74, 204 N COMMERCE, CRANE, MO 65633
(417) 723-1723
(417) 723-8540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE015996
MO
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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