Organization
CANYON LAKES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIK RICHARD BURKE DDS (DENTIST)
(231) 735-3715
Entity
Organization
Contact information
Practice address
525 BOLLINGER CANYON WAY STE 105, SAN RAMON, CA 94582-4935
(925) 735-3838
Mailing address
525 BOLLINGER CANYON WAY STE 105, SAN RAMON, CA 94582-4935
(925) 735-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021670
MI
Other
Enumeration date
08/31/2015
Last updated
10/07/2016
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