Individual
DR. WILLIAM CHARLES BURCKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2821 N BALLAS, STE 160, ST LOUIS, MO 63131
(314) 567-5477
(314) 567-4804
Mailing address
2821 N BALLAS, STE 160, ST LOUIS, MO 63131
(314) 567-5477
(314) 567-4804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12128
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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