Individual
DR. RICHARD MARK VANBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
610 N LOGAN AVE, DANVILLE, IL 61832-4321
(217) 442-3385
(217) 442-2517
Mailing address
610 N LOGAN AVE, DANVILLE, IL 61832-4321
(217) 442-3385
(217) 442-2517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004069
—
IL
Enumeration date
11/05/2006
Last updated
05/01/2008
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