Individual
MR. HARRISON BURKARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 77TH ST N, MALMSTROM AFB, MT 59402-7538
(406) 731-4455
Mailing address
21 77TH ST N, MALMSTROM AFB, MT 59402-7538
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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