Organization
BURRIS-DAKE ORAL SURGERY
Active
Organization
BURRIS-DAKE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN G BURRIS DDS (SOLE MANAGER)
(870) 534-2131
Entity
Organization
Contact information
Practice address
2801 S OLIVE ST, SUITE 33B, PINE BLUFF, AR 71603-5433
(870) 534-2131
(870) 534-2175
Mailing address
2801 S OLIVE ST, SUITE 33B, PINE BLUFF, AR 71603-5433
(870) 534-2131
(870) 534-2175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3802
AR
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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