Individual
DR. RHEANNA BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
910 W IRONWOOD DR, COEUR D ALENE, ID 83814-2601
(208) 667-1154
Mailing address
605 N 3RD ST, COEUR D ALENE, ID 83814-3014
(208) 301-3548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4332
ID
122300000X
Dentist
DE60178656
WA
Other
Enumeration date
09/02/2010
Last updated
07/09/2012
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