| NPI | 1467206938 |
|---|---|
| Doing Business As | BURKETT FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRYANT PARKER BURKETT Dentist/Member 765-561-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |