Individual
DR. MATTHEW JAY BURES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1111 DELAFIELD ST STE 222, WAUKESHA, WI 53188-3490
(414) 510-2803
Mailing address
1111 DELAFIELD ST STE 222, WAUKESHA, WI 53188-3403
(262) 547-8665
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
83583-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
06/10/2024
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