Individual
DR. JAROM R BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
652 HAMILTON RD, USA DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Mailing address
652 HAMILTON RD, USA DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7485620-9921
UT
Other
Enumeration date
05/03/2010
Last updated
07/21/2015
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