Individual
DR. ROBERT R BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
110 W. ENT AVE, ATTN: 21 DS/SGGD- DENTAL SQUADRON, PETERSON AFB, CO 80914-1540
(719) 556-1333
(719) 556-1331
Mailing address
110 W. ENT AVE, ATTN: 21 DS/SGGD- DENTAL SQUADRON, PETERSON AFB, CO 80914-1540
(719) 556-1333
(719) 556-1331
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
18596
TX
1223P0300X
Periodontics
Primary
8554
IN
Other
Enumeration date
10/04/2005
Last updated
05/10/2018
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