MICHAEL DAVID BURLAKOFF

DERBY, KS
NPI1588644801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KS  5973)
Enumeration Date2006-01-20
Last Update Date2016-02-03
Business Address
Dr. MICHAEL DAVID BURLAKOFF DDS
124 E EMMA ST
DERBY, KS 67037-1617
Phone number: 316-788-1611
Mailing Address
Dr. MICHAEL DAVID BURLAKOFF DDS
PO BOX 226 PO BOX 226
DERBY, KS 67037-0226
Phone number: 316-788-1611
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