Organization
JUST 4 KIDS PEDIATRIC DENTISTRY AND SEDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BURKE D.M.D., M.S.D. (PEDIATRIC DENTIST OWNER)
(804) 562-2667
Entity
Organization
Contact information
Practice address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
Mailing address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413575
VA
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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