DR. Michael David Burlakoff, DDS

NPI #1588644801 in Derby, Kansas

Provider Information

NPI Number: 1588644801
Entity Type: Individual
Name: DR. Michael David Burlakoff, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 20, 2006
Last Updated: Feb 3, 2016

Practice Location

Address: 124 E EMMA ST
City: Derby
State: Kansas
ZIP Code: 67037-1617
Phone: (316) 788-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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