Individual
MICHAEL WARREN BURBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1640
(402) 476-1655
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1640
(402) 476-1655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6085
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025079000
—
NE
Enumeration date
10/07/2005
Last updated
07/08/2007
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