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J.dieter Burr, Dmd Pa
Dental Clinic/Center in Cocoa, Florida
NPI 1225309602

J.dieter Burr, Dmd Pa is a Dental Clinic/Center based in Cocoa, FL and is specialized in Dental. J.dieter Burr, Dmd Pa practices in Cocoa, FL. The NPI Number for J.dieter Burr, Dmd Pa is 1225309602 and holds a License No. DN19285 (Florida).

The current practice location address for J.dieter Burr, Dmd Pa is 6825 N Highway 1, Cocoa, FL and can be reached out via phone at 321-631-2111.

Location: 6825 N Highway 1, Cocoa, FL, 32927-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225309602
Provider Name
J.dieter Burr, Dmd Pa
Credential
Provider Entity Type
Organization
Address
6825 N Highway 1, Cocoa, FL, 32927-5012
Phone Number
321-631-2111
Fax Number
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6825 N Highway 1
City
Cocoa
State
Florida
Zip
32927-5012
Phone Number
321-631-2111
Fax Number
person
Provider Business Mailing Address Details
Address
6825 N Highway 1
City
Cocoa
State
Florida
Zip
32927-5012
Phone Number
321-631-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN19285 (Florida)
Definition
Definition to come...
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