Individual
BURL CRANDELL SHUBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 EMERALD DR N, INDIAN HARBOUR BEACH, FL 32937-3692
(321) 777-7816
Mailing address
BOX 3066, INDIALANTIC, FL 32903
(321) 777-7816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4415
FL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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