Individual
DR. MICHAEL DAVID BURLAKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 E EMMA ST, DERBY, KS 67037-1617
(316) 788-1611
Mailing address
PO BOX 226, PO BOX 226, DERBY, KS 67037-0226
(316) 788-1611
(316) 788-2131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5973
KS
Other
Enumeration date
01/20/2006
Last updated
02/03/2016
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