Organization
BRYAN ROAD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A BURKETT D.D.S. (OWNER/DENTIST)
(956) 585-7677
Entity
Organization
Contact information
Practice address
210 S BRYAN RD, SUITE 4, MISSION, TX 78572-6204
(956) 585-7677
(956) 585-7627
Mailing address
210 S BRYAN RD, SUITE 4, MISSION, TX 78572-6204
(956) 585-7677
(956) 585-7627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18991
TX
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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