Organization
CRAIG N BURHOOP DDS PC
Active
Other names
Lakeport Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MILLER (OFFICE MANAGER)
(712) 276-8391
Entity
Organization
Contact information
Practice address
3434 S LAKEPORT ST, SIOUX CITY, IA 51106-4509
(712) 276-8391
Mailing address
3434 S LAKEPORT ST, SIOUX CITY, IA 51106-4509
(712) 276-8391
(712) 276-8403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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