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Individual

JOHN BURTENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2295 S CHAMBERS RD, #E, AURORA, CO 80014-4544
(303) 751-6511
Mailing address
1662 WINTERBERRY LN, WESTON, FL 33327-2338
(954) 385-3770

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8655
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85223867
CO
Enumeration date
04/26/2007
Last updated
07/09/2007
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