Individual
CHARLES E. BURNHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
900 S. GARNETT ST., HENDERSON, NC 27536-0012
(252) 438-3145
(252) 430-8228
Mailing address
P.O. BOX 12, HENDERSON, NC 27536-0012
(252) 438-3145
(252) 430-8228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4705
NC
Other
Enumeration date
04/20/2007
Last updated
02/14/2012
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