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Individual
DR. HUGH DERWARD BURKE JR.
Active
Individual
DR. HUGH DERWARD BURKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16882
DENTAL LICENSE STATE OF C
CA
Enumeration date
02/13/2007
Last updated
11/16/2021
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