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Individual

DR. DONALD RAYMOND BURKHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4111 OKEMOS RD, SUITE 201, OKEMOS, MI 48864-3235
(517) 347-0946
(517) 347-2524
Mailing address
4111 OKEMOS RD, SUITE 201, OKEMOS, MI 48864-3235
(517) 347-0946
(517) 347-2524

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
940759
MI

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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