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General NPI Number Information
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NPI Number | 1952568230
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Entity Type | Organization
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Legal Business Name | VICTOR H. BURDICK, JR., DDS, P.C.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 26 W DRY CREEK CIR SUITE 720
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City | LITTLETON
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State | CO
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Zip | 80120-8063
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Country | US
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Telephone | 303-794-5138
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Fax | 303-794-3599
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Provider Business Mailing Address
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Address Line | 26 W DRY CREEK CIR SUITE 720
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City | LITTLETON
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State | CO
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Zip | 80120-8063
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Country | US
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Telephone | 303-794-5138
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Fax | 303-794-3599
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR HAROLD BURDICK JR.
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Credential | DDS
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Telephone | 303-794-5138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6175
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License Number State | CO
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