Peter Burch
Peter Burch is a General Practice Dentistry in Medford, Oregon. Licensed in Idaho and Oregon. Registered with an NPI since 2019.
- Licensed in
- ID, OR
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1094 Royal CtMedford, OR 97504-6138
Phone: (541) 779-4344
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D11073 (OR) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D-5048 (ID) |
Record details
| NPI number | 1972155018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2019 |
| Last updated in NPPES | July 9, 2019 |
| Mailing address | 3227 McCloud St, Medford, OR 97504-4223 |
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