Organization
C. EDMUND BURTON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE EDMUND BURTON D.D.S. P.C (DENTIST)
(718) 756-7555
Entity
Organization
Contact information
Practice address
1185 DEAN STREET, BROOKLYN, NY 11216-5607
(718) 756-7555
(718) 771-6007
Mailing address
1185 DEAN STREET, BROOKLYN, NY 11216-5607
(718) 756-7555
(718) 771-6007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160-990-7807
—
NY
Enumeration date
08/15/2012
Last updated
09/17/2012
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