Individual
DR. MARTIN ERIC BURBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1818 PACIFIC AVE, FOREST GROVE, OR 97116-2324
(503) 992-2287
Mailing address
1818 PACIFIC AVE, FOREST GROVE, OR 97116-2324
(503) 992-2287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7566
OR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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