Individual
DR. JASON BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5440 E SOUTHERN AVE STE 107, MESA, AZ 85206-2779
(480) 830-3344
Mailing address
3102 E WILDWOOD DR, PHOENIX, AZ 85048-7713
(480) 455-0037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010060
AZ
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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