Chris K. Burseth DDS

NPI 1033289954 - Dentist - 1223G0001X

NPI Details
NPI 1033289954
Gender Male
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
22 W CRYSTAL LAKE AVE
CRYSTAL LAKE IL, 60014-6104, US
Phone (815) 459-9900
Fax
Business Location
22 WEST CRYSTAL LAKE AVENUE
CRYSTAL LAKE IL, 60014, US
Phone (815) 459-9900
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Chris K. Burseth DDS NPI is 1033289954, taxonomy code is 1223G0001X Chris K. Burseth DDS physically located at 22 W Crystal Lake Ave, Crystal Lake IL, 60014-6104. NPI Number Chris K. Burseth DDS has the Individual type.

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1033289954 NPI number is provided on an as is basis without warranty of any kind. 1033289954 is maintained by the National Plan & Provider Enumeration System. The contents of Chris K. Burseth DDS are for informational purposes only.