| NPI | 1902160955 |
|---|---|
| Other Name | KYLE ROBERT BURGMER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08959) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 08959) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-01-27 |