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Individual

DR. DAVID MOSHER BURRUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(541) 923-8666
Mailing address
2379 NW LABICHE LN, # 1, BEND, OR 97701-7178
(541) 280-4835

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6662-15
WI
1223P0221X
Pediatric Dentistry
Primary
D9699
OR

Other

Enumeration date
05/10/2011
Last updated
09/30/2014
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