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NPI Code Detail

MEDICARE: DR. VINCENT BURHOP DDS

MEDICARE:  DR. VINCENT  BURHOP  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDDS106370CA

General Provider Information

NPI Number : 1568871127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT BURHOP DDS
Provider Business Mailing Address
First Line : 2316 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-2228
Country : US
Telephone Number : 312-491-0601
Fax Number :
Provider Business Practice Location Address
First Line : 16850 SAN FERNANDO MISSION BLVD
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-4247
Country : US
Telephone Number : 818-488-6068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2014
Last Update Date : 02/21/2024

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Directions to “ DR. VINCENT BURHOP DDS” Practice Location

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