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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