Individual
CASEY L BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD STE 750, WAUWATOSA, WI 53226-1307
(414) 257-3366
Mailing address
2600 N MAYFAIR RD STE 750, WAUWATOSA, WI 53226-1307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001553-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
06/21/2019
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