Individual
DR. THERON REED BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
Mailing address
3700 COORS BLVD NW STE D, ALBUQUERQUE, NM 87120-1405
(505) 344-6565
(505) 344-8217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3124
NM
Other
Enumeration date
05/28/2009
Last updated
01/12/2010
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