Individual
DR. JOSHUA JOEL BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
957 S HWY 89, LOGAN, UT 84321-5451
(714) 264-6250
Mailing address
296 W 3575 S, NIBLEY, UT 84321-6342
(714) 264-6250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11349977-9922
UT
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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