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1285869792
THERON REED BURK
FARMINGTON, NM
NPI
1285869792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM dd3124)
Enumeration Date
2009-05-28
Last Update Date
2010-01-12
Business Address
Dr. THERON REED BURK DMD
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
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Mailing Address
Dr. THERON REED BURK DMD
3700 COORS BLVD NW STE D
ALBUQUERQUE, NM 87120-1405
Phone number: 505-344-6565
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