Burris-Dake LLC
NPI #1417258393 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1417258393
- Entity Type
- Organization
- Organization Name
- Burris-Dake LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Nov 9, 2010
- Last Updated
- Nov 9, 2010
Practice Location
- Address
- 2951 KANELL BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4008
- Phone
- (573) 776-1355
Authorized Official
- Name
- DR. BENJAMIN G BURRIS, DDS,MS
- Title
- ORTHODONTIST
- Phone
- 15737761355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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