Individual
JAYDEN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NE E ST, GRANTS PASS, OR 97526-2369
(541) 479-5505
Mailing address
3732 E 38 N, RIGBY, ID 83442-5621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12002
OR
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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