| Burre Dental Center | |
|
959 Myrtle Avenue Eureka CA 95501 | |
| (707) 442-7078 | |
| (707) 442-7298 |
| Full Name | Burre Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 959 Myrtle Avenue, Eureka, California |
| Authorized Official Name and Position | Victor a Starr (PRESIDENT/CEO) |
| Authorized Official Contact | 7078268633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burre Dental Center 1275 8th St Arcata CA 95521-5770 Ph: (707) 826-8633 | Burre Dental Center 959 Myrtle Avenue Eureka CA 95501 Ph: (707) 442-7078 |
| NPI Number | 1851486989 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851486989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000502 (California) | Primary |
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