Individual
DR. DENZER BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1421 PINE ST., TEXARKANA, TX 75501-4413
(903) 794-9741
(903) 794-9741
Mailing address
1421 PINE ST., TEXARKANA, TX 75501-4413
(903) 794-9741
(903) 794-9741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080707
—
TX
01
—
D138722
CIGNA OFFICE ID
TX
Enumeration date
04/03/2007
Last updated
07/09/2007
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