Individual
DR. FREDERICK CHARLES BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2820 AAA CT, BETTENDORF, IA 52722-6752
(563) 449-9055
(563) 449-9056
Mailing address
2820 AAA CT, BETTENDORF, IA 52722-6752
(563) 449-9055
(563) 449-9055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6227
IA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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