Individual
DR. CHARLES RICHARD BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1175 FRANKLIN ST, ROCKY MOUNT, VA 24151-1248
(540) 483-7577
Mailing address
270 RIVERBEND DR, ROCKY MOUNT, VA 24151-2909
(540) 483-1246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4607
VA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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