Individual
DANIEL A BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MD
Contact information
Practice address
3807 S MAIN ST, ELKHART, IN 46517-3510
(574) 875-0547
(574) 875-0548
Mailing address
3807 S MAIN ST, ELKHART, IN 46517-3510
(574) 875-0547
(574) 875-0548
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12009601A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
01048765A
IN
Other
Enumeration date
01/18/2007
Last updated
12/30/2010
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