Individual
DR. DAVID RANDOLF BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4854 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1742
(727) 789-8900
(727) 789-1029
Mailing address
4854 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1742
(727) 789-8900
(727) 789-1029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13871
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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