Richard M. Vanburk, D.m.d., P.c.

NPI #1205180577 in Danville, Illinois

Provider Information

NPI Number: 1205180577
Entity Type: Organization
Organization Name: Richard M. Vanburk, D.m.d., P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 610 N LOGAN AVE
City: Danville
State: Illinois
ZIP Code: 61832-4321
Phone: (217) 442-3385

Authorized Official

Name: DR. RICHARD MARK VANBURK, D.M.D.
Title: OWNER
Phone: (217) 442-3385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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