Organization
BURRY ENDODONTICS LLC
Active
Other names
Skagit Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB CHARLES BURRY DDS, MS. (MANAGER)
(208) 949-1351
Entity
Organization
Contact information
Practice address
205 W FAIRHAVEN AVE STE A, BURLINGTON, WA 98233-1062
(360) 757-3636
Mailing address
205 W FAIRHAVEN AVE STE A, BURLINGTON, WA 98233-1062
(360) 757-3636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60389753
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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