Individual
SAMUEL ROBERT BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065-1248
(513) 928-8079
Mailing address
625 BRANDY WAY, CINCINNATI, OH 45244-1200
(937) 903-1751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027115
OH
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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