Organization · Type 2 NPI

J.dieter Burr, DMD PA

Dental Clinic/Center · Cocoa, FL

NPI number 1225309602 Active

Practice location

6825 N Highway 1
Cocoa, FL 32927-5012

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDN19285 (FL)

Dental Clinic/Center: Definition to come...

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About NPI 1225309602

J.dieter Burr, DMD PA's National Provider Identifier is 1225309602, issued on Jan 18, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cocoa, FL. The record was last updated on Jan 18, 2012.