NPI 1902409394

Harrison Burkardt

Practitioner Dental Assistant Malmstrom Afb, MT

Practice location

Address: 21 77th St N, Malmstrom Afb, MT 59402-7538
Phone: (406) 731-4455

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1902409394
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.