Individual
DR. STACEE BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
5508 COWHORN CREEK RD, TEXARKANA, TX 75503-9101
(903) 334-8080
Mailing address
5508 COWHORN CREEK RD, TEXARKANA, TX 75503-9101
(903) 334-8080
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17537
TX
Other
Enumeration date
06/15/2005
Last updated
07/08/2007
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