Individual
NATHANIEL H BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 W MORELAND BLVD, WAUKESHA, WI 53188-2432
(262) 542-4827
Mailing address
713 W MORELAND BLVD, WAUKESHA, WI 53188-2432
(262) 542-4827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001544-15
WI
Other
Enumeration date
05/17/2017
Last updated
10/16/2017
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