Organization
BURWINKEL FAMILY DENTRISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ANTHONY BURWINKEL D.D.S. (OWNER)
(937) 393-1634
Entity
Organization
Contact information
Practice address
323 N HIGH ST, HILLSBORO, OH 45133-1173
(937) 393-1634
(937) 393-8509
Mailing address
PO BOX 190, HILLSBORO, OH 45133-0190
(937) 393-1634
(937) 393-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197497
—
OH
Enumeration date
01/24/2007
Last updated
08/22/2020
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