ERIC LEE BURBANO

FOREST GROVE, OR
NPI1841284734
Entity TypeIndividual
GenderMale
Sole Proprietor ?
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