ERIC LEE BURBANO

FOREST GROVE, OR
NPI1841284734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  4312)
Enumeration Date2005-09-07
Last Update Date2007-07-08
Business Address
Dr. ERIC LEE BURBANO DMD
1818 PACIFIC AVE
FOREST GROVE, OR 97116-2324
Phone number: 503-357-7700
Mailing Address
Dr. ERIC LEE BURBANO DMD
1818 PACIFIC AVE
FOREST GROVE, OR 97116-2324
Phone number: 503-357-7700
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