THERON REED BURK

FARMINGTON, NM
NPI1285869792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  dd3124)
Enumeration Date2009-05-28
Last Update Date2010-01-12
Business Address
Dr. THERON REED BURK DMD
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
Mailing Address
Dr. THERON REED BURK DMD
3700 COORS BLVD NW STE D
ALBUQUERQUE, NM 87120-1405
Phone number: 505-344-6565