Individual
DR. DAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3302 GASTON AVE, DEPT OF PEDIATRIC DENTISTRY, DALLAS, TX 75246-2013
(214) 828-8375
Mailing address
3302 GASTON AVE, DEPT OF PEDIATRIC DENTISTRY, DALLAS, TX 75246-2013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30902
TX
1223G0001X
General Practice Dentistry
DEN1001309
DC
Other
Enumeration date
09/30/2013
Last updated
08/14/2015
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