NPI | 1265691885 |
---|---|
Other Name | BURRIS DENTAL GROUP PA |
Entity Type | Organization |
Authorized Contact | BENJAMIN GRAY BURRIS Orthodontist 501-321-0560 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3465) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |