Individual
DR. MATTHEW BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(843) 963-6864
Mailing address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(781) 910-6074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
635444
CA
Other
Enumeration date
05/08/2014
Last updated
03/21/2018
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