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Individual

DR. ROBERT E BURNSIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
551 NE GREENWOOD AVE, BEND, OR 97701-4609
(541) 382-5766
(541) 389-8673
Mailing address
551 NE GREENWOOD AVE, BEND, OR 97701-4609
(541) 382-5766
(541) 389-8673

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3938
OR

Other

Enumeration date
02/04/2010
Last updated
02/04/2010
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