Individual
SHAUN BURLINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
316 KNOLLCREST DR, REDDING, CA 96002-0104
(530) 223-1811
(530) 223-1813
Mailing address
17829 RANCHERA RD, SHASTA LAKE, CA 96019-8954
(801) 718-1102
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
170582
CA
Other
Enumeration date
05/14/2014
Last updated
11/19/2020
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