Individual
DR. SAMUEL JACKSON BURROW IV
Active
Individual
DR. SAMUEL JACKSON BURROW IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,DMD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9425
NC
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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