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Individual

DR. RICHARD G BURTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7229
Mailing address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242
(319) 356-7229
(319) 353-6923

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40009
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
40009
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0155333
IA
01
59894
WELLMARK
IA
Enumeration date
12/14/2005
Last updated
09/24/2024
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