Individual
JODENE LOREE BURKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3050 E 16TH ST, OAKLAND, CA 94601-2319
(510) 535-4700
(510) 535-4283
Mailing address
1601 FRUITVALE AVE, OAKLAND, CA 94601-2418
(510) 535-4000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH9921
CA
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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