Provider Demographics
NPI:1154472595
Name:BURCH, DIANA PALANDJIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:PALANDJIAN
Last Name:BURCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:PALANDJIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2387 CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-4007
Mailing Address - Country:US
Mailing Address - Phone:717-767-6846
Mailing Address - Fax:717-779-0474
Practice Address - Street 1:2387 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4007
Practice Address - Country:US
Practice Address - Phone:717-767-6846
Practice Address - Fax:717-779-0474
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030911L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist