Organization
NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD
Active
Other names
Burnley Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA UBALDE BURNLEY D.D.S.,D.M.D. (OWNER)
(702) 891-0079
Entity
Organization
Contact information
Practice address
5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 891-0079
(702) 891-0455
Mailing address
5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
(702) 891-0079
(702) 891-0455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1022
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022
STATE DENTAL LICENSE NO.
NV
01
—
885552
UNITED CONCORDIA PROVIDER
NV
Enumeration date
05/04/2007
Last updated
08/22/2020
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