Levi M Bursch, DDS PLLC
Dentist in Duluth, MN. Organization (NPI-2).
NPI number1497400972
StatusActive
Last updated in NPPESFeb 14, 2022
Details
- NPI
- 1497400972
- Entity type
- Organization (NPI-2)
- Legal business name
- Levi M Bursch, DDS PLLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2022
- Certification date
- Feb 14, 2022
- Last updated
- Feb 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
5331 E Superior StDuluth, MN 55804-2423
Phone 218-525-1958
Mailing address
5331 E Superior StDuluth, MN 55804-2423
Authorized official
Levi Bursch
Own/Dentist
7163972435
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