DR. Richard Russell Burt, DDS
NPI #1700894771 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1700894771
- Entity Type
- Individual
- Name
- DR. Richard Russell Burt, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
| Provider Name | |
|---|---|
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