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Individual

DR. MICHELLE BURSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
322 DENTAL SCIENCE S, IOWA CITY, IA 52242
(319) 335-7440
(319) 335-7451
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09578
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
09578
IA

Other

Enumeration date
06/26/2018
Last updated
07/30/2018
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