Individual
DR. YVONNE TIJERINA-BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 563-2662
Mailing address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23263
TX
1223G0001X
General Practice Dentistry
Primary
1394
AK
1223G0001X
General Practice Dentistry
23263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185728601
—
TX
Enumeration date
10/05/2007
Last updated
10/27/2020
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