Organization
BURTON DENTAL CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIVA S TIRTHA DDS (PRESIDENT/OWNER)
(989) 288-6165
Entity
Organization
Contact information
Practice address
103 W CLINTON ST, SUITE A, DURAND, MI 48429
(989) 288-6165
(989) 288-2030
Mailing address
103 W CLINTON ST, DURAND, MI 48429
(989) 288-6165
(989) 288-2030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13544
—
1223G0001X
General Practice Dentistry
1590520
MI
Other
Enumeration date
08/18/2006
Last updated
04/22/2011
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