Individual
DR. JEFFREY V BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1075 FEATHERSTONE RD, ROCKFORD, IL 61107-5906
(815) 227-5858
Mailing address
1075 FEATHERSTONE RD, ROCKFORD, IL 61107-5906
(815) 227-5858
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019026241
IL
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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