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Dr. RICHARD RUSSELL BURT -- DDS

Individual Provider (NPI-1) Active

Dentist

Provider Information

NPI Number
1700894771
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
310 W IDAHO ST, BLACKFOOT, ID, 832210248
Phone
(208) 785-2255
Fax
(208) 785-2275

Specialties & Taxonomies

Dentist Primary License: ID #D1995

All Addresses

MAILING

PO BOX 248

BLACKFOOT, ID, 832210248

(208) 785-2255

LOCATION

310 W IDAHO ST

BLACKFOOT, ID, 832210248

(208) 785-2255