Individual
DR. JASON LAWRENCE BURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
56 DODGE ST, PERIONORTH, BEVERLY, MA 01915-1786
(978) 922-7666
(978) 921-1714
Mailing address
56 DODGE ST, PERIONORTH, BEVERLY, MA 01915-1786
(978) 922-7666
(978) 921-1714
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20797
MA
Other
Enumeration date
02/08/2006
Last updated
02/28/2008
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