Organization
DWAYNE R BURBACH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE ROBERT BURBACH DDS (OWNER)
(805) 466-3328
Entity
Organization
Contact information
Practice address
7005 ATASCADERO AVE, ATASCADERO, CA 93422-4431
(805) 466-3328
(805) 466-0824
Mailing address
7005 ATASCADERO AVE, ATASCADERO, CA 93422-4431
(805) 466-3328
(805) 466-0824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28846
CA
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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