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Organization
DAVID BURRICHTER, DDS, PLLC
Active
Organization
DAVID BURRICHTER, DDS, PLLC
Active
Other names
Main Street Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOM BURRICHTER DDS (DENTIST/OWNER)
(651) 270-5266
Entity
Organization
Contact information
Practice address
209 SOUTH 1ST STREET, MONTEVIDEO, MN 56265-1412
(320) 269-6406
(320) 269-6408
Mailing address
209 SOUTH 1ST STREET, MONTEVIDEO, MN 56265-1412
(320) 269-6406
(320) 269-6408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/25/2020
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