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Organization
JONATHAN S. BURKE, DDS, PC
Active
Organization
JONATHAN S. BURKE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCOTT BURKE DDS (PRESIDENT)
(219) 662-9932
Entity
Organization
Contact information
Practice address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Mailing address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12009850
IN
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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