Organization
RICHARD M. VANBURK, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARK VANBURK D.M.D. (OWNER)
(217) 442-3385
Entity
Organization
Contact information
Practice address
610 N LOGAN AVE, DANVILLE, IL 61832-4321
(217) 442-3385
(217) 442-2517
Mailing address
610 N LOGAN AVE, DANVILLE, IL 61832-4321
(217) 442-3385
(217) 442-2517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016797
IL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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