Organization
BONNIE L BURTON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE L BURTON DDS (OWNER)
(580) 536-2662
Entity
Organization
Contact information
Practice address
1320 NW HOMESTEAD DR, SUITE I, LAWTON, OK 73505-5288
(580) 536-2662
(580) 536-2226
Mailing address
1320 NW HOMESTEAD, SUITE I, LAWTON, OK 73505-4202
(580) 536-2662
(580) 536-2226
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4098
OK
Other
Enumeration date
04/25/2008
Last updated
04/03/2015
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