Individual
ELYSE NICOLE BURKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2268 N LAKE SHORE DR STE 104, ROCKWALL, TX 75087-0280
(469) 616-0507
Mailing address
401 ARBORCREST DR, RICHARDSON, TX 75080-2607
(972) 841-8043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34173
TX
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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