Individual
DR. CRAIG NOEL BURHOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,PC
Contact information
Practice address
3434 S LAKEPORT ST, SIOUX CITY, IA 51106-4509
(712) 276-8391
(712) 276-8403
Mailing address
3434 S LAKEPORT ST, SIOUX CITY, IA 51106-4509
(712) 276-8391
(712) 276-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7813
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134288
—
IA
Enumeration date
10/05/2006
Last updated
07/09/2007
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