Organization
BURLEY ENDODONTICS, LLC
Active
Other names
Wilsonville Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARID ANDREW BURLEY DMD (MEMBER)
(503) 570-9090
Entity
Organization
Contact information
Practice address
30485 SW BOONES FERRY RD, SUITE 103, WILSONVILLE, OR 97070-7845
(503) 698-7268
Mailing address
30485 SW BOONES FERRY RD, SUITE 103, WILSONVILLE, OR 97070-7845
(503) 698-7268
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D9148
OR
1223E0200X
Endodontics
Primary
D9976
OR
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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