| NPI | 1023240595 |
|---|---|
| Former Legal Business Name | BURRIS-DAKE, LLC. |
| Entity Type | Organization |
| Authorized Contact | BRYAN HILLER Orthodontist 501-321-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-02-19 |