Individual
ANN BURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10730 PACIFIC ST STE 105, OMAHA, NE 68114-4700
(402) 391-1047
Mailing address
15403 CAMDEN AVE, OMAHA, NE 68116-8445
(308) 539-5050
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1934
NE
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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