Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6916 | WA |
NPI | 1013980564 |
---|---|
Provider Name | Dr. Dean Allen Burnett |
First Address | Bellevue, WA 98004-3747 |
Second Address | Bellevue, WA 98004-3747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 22/07/2014 |