Individual
DR. BRIAN KEITH BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
404 N FEDERAL AVE, MASON CITY, IA 50401
(641) 450-0601
(641) 450-0612
Mailing address
404 N FEDERAL AVE, MASON CITY, IA 50401-3214
(641) 450-0601
(641) 450-0612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09065
IA
1223G0001X
General Practice Dentistry
20940
TX
Other
Enumeration date
01/29/2007
Last updated
10/24/2018
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