Organization
BURRUS DENTISTRY PC
Active
Other names
Pediatric Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE POREMSKI BURRUS DDS (PEDIATRIC DENTIST)
(541) 923-8666
Entity
Organization
Contact information
Practice address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(541) 923-8666
Mailing address
413 NW LARCH AVE, SUITE 201, REDMOND, OR 97756-1361
(541) 923-8666
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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