Burke Orthodontic Associates

NPI #1629204334 in Burke, Virginia

Provider Information

NPI Number: 1629204334
Entity Type: Organization
Organization Name: Burke Orthodontic Associates
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 9, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 6045 BURKE CENTRE PKWY
Address 2: SUITE 202
City: Burke
State: Virginia
ZIP Code: 22015-3751
Phone: (703) 719-5828

Authorized Official

Name: LUCY LYNN MCCABE
Title: GM
Phone: (703) 719-5828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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