Organization
EQUITY DENTAL CLINICS BURNS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHIRTCLIFF DMD (PRESIDENT)
(541) 680-9028
Entity
Organization
Contact information
Practice address
711 PONDEROSA VLG, BURNS, OR 97720-2315
(541) 680-9028
Mailing address
PO BOX 1748, REDMOND, OR 97756-0518
(541) 680-9028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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