LARRY D. BURNSIDE D.D.S.,P.A.

JACKSONVILLE, FL
NPI1861563041
Entity TypeOrganization
Authorized ContactLARRY DAVID BURNSIDE
President
904-268-0904
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  7825)
Enumeration Date2006-11-10
Last Update Date2020-08-22
Business Address
LARRY D. BURNSIDE D.D.S.,P.A.
12708 SAN JOSE BLVD
JACKSONVILLE, FL 32223-2689
Phone number: 904-268-0904
Mailing Address
LARRY D. BURNSIDE D.D.S.,P.A.
711 CREIGHTON RD
ORANGE PARK, FL 32003-7008
Phone number: 904-264-2759
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