Individual
DR. DUSTIN BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4151 N MULBERRY DR, SUITE 210, KANSAS CITY, MO 64116-1638
(816) 741-5311
(866) 253-1590
Mailing address
2940 WALNUT ST, KANSAS CITY, MO 64108-3226
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2004013243
MO
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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