Individual
DR. KENNETH MICHAEL BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
2190 E 17TH AVE, DENVER, CO 80206
(303) 731-2005
Mailing address
2190 E 17TH AVE, DENVER, CO 80206-1126
(303) 731-2005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN10283
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153400
—
CO
Enumeration date
10/08/2010
Last updated
06/16/2018
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