Provider First Line Business Practice Location Address:
431 S BROADWAY STE 112
Provider Second Line Business Practice Location Address:
DR. BURTONS FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40508-2955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-255-6161
Provider Business Practice Location Address Fax Number:
859-233-0524
Provider Enumeration Date:
06/27/2006