Individual
DR. EMILY BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1801 PARKVIEW DR, EL RENO, OK 73036-2103
(405) 295-1500
Mailing address
4420 JORDAN AVE, EDMOND, OK 73013-4740
(405) 315-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7692
OK
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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