LARRY DAVID BURNSIDE

JACKSONVILLE, FL
NPI1306917588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  7825)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
Dr. LARRY DAVID BURNSIDE DDS
12708 SAN JOSE BLVD
JACKSONVILLE, FL 32223-2689
Phone number: 904-268-0904
Mailing Address
Dr. LARRY DAVID BURNSIDE DDS
711 CREIGHTON RD
ORANGE PARK, FL 32003-7008
Phone number: 904-264-2759
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