Individual
DR. DANIEL RICHARD BURGMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2800 4TH ST SW, MASON CITY, IA 50401-1596
(641) 423-0064
Mailing address
2800 4TH ST SW, MASON CITY, IA 50401-1596
(641) 423-0064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7062
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228379
—
IA
Enumeration date
07/26/2006
Last updated
07/08/2007
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