Organization
KENT BURNETT DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT DOUGLAS BURNETT DDS (OWNER/DENTIST)
(541) 754-1668
Entity
Organization
Contact information
Practice address
1711 NW GRANT AVE, CORVALLIS, OR 97330-2642
(541) 754-1668
(541) 758-3010
Mailing address
1711 NW GRANT AVE, CORVALLIS, OR 97330-2642
(541) 754-1668
(541) 758-3010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7437
OR
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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