LEVI BURSCH
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1932767688- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3570 RIVER RAPIDS DR NW # 110, COON RAPIDS, MN, 554484100
- Phone
- (651) 760-5441
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #D14219