Organization
DRS BURAU PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ALLEN BURAU DDS (CO-OWNER)
(810) 694-8244
Entity
Organization
Contact information
Practice address
240 E GRAND BLANC RD, GRAND BLANC, MI 48439
(810) 694-8244
(810) 694-4285
Mailing address
240 E GRAND BLANC RD, GRAND BLANC, MI 48439
(810) 694-8244
(810) 694-4285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901015019
MI
122300000X
Dentist
Primary
2901015751
MI
122300000X
Dentist
2901017041
MI
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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