Individual
DR. DAVID J BURRICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
209 S 1ST ST, MONTEVIDEO, MN 56265-1412
(320) 269-6406
(320) 269-6406
Mailing address
209 S 1ST ST, MONTEVIDEO, MN 56265-1412
(320) 269-6406
(320) 269-6408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12766
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84295063
—
MN
Enumeration date
07/19/2007
Last updated
09/24/2020
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