Individual
DR. ELISE BURRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(414) 923-8666
Mailing address
2379 NW LABICHE LN, # 1, BEND, OR 97701-7178
(541) 280-5186
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6534-015
WI
1223P0221X
Pediatric Dentistry
Primary
D9707
OR
Other
Enumeration date
07/21/2010
Last updated
09/30/2014
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