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Individual

DR. JOHN BRADLEY BURLESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3284 HIGHWAY 367 S, CABOT, AR 72023-7444
(501) 843-5808
(501) 941-3572
Mailing address
3284 HIGHWAY 367 S, CABOT, AR 72023-7444
(501) 843-5808
(501) 941-3572

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
3476
AR
1223G0001X
General Practice Dentistry
Primary
2022033495
MO
1223G0001X
General Practice Dentistry
7652
OK

Other

Enumeration date
07/28/2006
Last updated
02/08/2024
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