NPI | 1538579727 |
---|---|
Doing Business As | DR. BRALDEY J BURKET DMD, MD |
Entity Type | Organization |
Authorized Contact | MISTY BOUGHTON Office Manager 541-322-0376 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR MD19055) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |