Individual
NATISHA BURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
21590 CENTER RIDGE RD, ROCKY RIVER, OH 44116-3945
(440) 333-4623
Mailing address
28 WILKINSON WAY UNIT 4205, BLUFFTON, SC 29910-4787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1001630
DC
1223P0221X
Pediatric Dentistry
Primary
30.025145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236053
—
OH
Enumeration date
06/24/2016
Last updated
11/14/2022
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