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Individual

DR. CHARLES H BURNES IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3304 GREENWALD WAY N, KISSIMMEE, FL 34741-0768
(407) 479-7987
Mailing address
1309 READING DR, ORLANDO, FL 32804-6704

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21470
FL

Other

Enumeration date
07/22/2015
Last updated
07/22/2015
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