| NPI | 1609459619 |
|---|---|
| Doing Business As | BURBANK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GERALD WARD Owner 773-318-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |