Burke, Hugh Derward

Burke, Hugh Derward is an individual health care provider with primary practice located at 8599 Haven Ave Suite 105, Rancho Cucamonga CA 91730-4849. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burke, Hugh Derward can be contacted via phone (909) 945-2342.

Contact Information

Primary practice address
8599 Haven Ave Suite 105 Rancho Cucamonga CA 91730-4849
Phone: (909) 945-2342
Fax: (909) 948-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16882 California

Profile Details

NPI number 1891837258
LBN Legal business name Burke, Hugh Derward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Nov 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891837258 NPPES
California Other 16882 DENTAL LICENSE STATE OF C

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