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Organization
BURKE DENTAL, PLLC
Active
Organization
BURKE DENTAL, PLLC
Active
Other names
Stag Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIK RICHARD BURKE DDS, GPR (OWNER/DOCTOR)
(231) 642-2042
Entity
Organization
Contact information
Practice address
116 W MAIN ST, KINGSLEY, MI 49649-5109
(231) 642-2042
Mailing address
PO BOX 518, KINGSLEY, MI 49649-0518
(231) 642-2042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
802133003
MI
Other
Enumeration date
04/10/2018
Last updated
01/04/2020
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