Organization
BURCHWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE BURCH DDS (DENTIST)
(832) 780-0901
Entity
Organization
Contact information
Practice address
8920 SPENCER HWY STE D, LA PORTE, TX 77571-4195
(832) 780-0901
(832) 780-0903
Mailing address
8920 SPENCER HWY STE D, LA PORTE, TX 77571-4195
(832) 780-0901
(832) 780-0903
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23093
TX
Other
Enumeration date
06/16/2014
Last updated
02/16/2016
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