Individual
DR. WILLIAM BRENT BURCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2902 S PITTSBURG AVE, TULSA, OK 74114-6133
(918) 748-8868
(918) 742-2030
Mailing address
2902 S PITTSBURG AVE, TULSA, OK 74114-6133
(918) 748-8868
(918) 742-2030
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4964
OK
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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