DR. Brant Burbank, DDS

NPI #1982260360 in Boise, Idaho

Provider Information

NPI Number: 1982260360
Entity Type: Individual
Name: DR. Brant Burbank, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 11, 2019
Last Updated: Jun 15, 2020

Practice Location

Address: 4255 N EAGLE RD STE 102
City: Boise
State: Idaho
ZIP Code: 83713-0701
Phone: (208) 344-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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