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MR. STEVEN MICHAEL BURTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1702 MAIN ST, TYNDALL, SD 57066
(605) 589-3552
Mailing address
BOX 30, 1702 MAIN ST, TYNDALL, SD 57066
(605) 589-3552

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M386
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7809990
SD
Enumeration date
11/08/2007
Last updated
11/08/2007
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