Individual
MR. DENNIS ALLAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2005 KNIGHT LANE, BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAF, JACKSONVILLE, FL 32212-0140
(928) 269-2353
(928) 269-3261
Mailing address
BOX 99117, DETACHMENT 13TH DENTAL COMPANY, YUMA, AZ 85369-9117
(928) 269-2353
(928) 269-3261
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4311
AZ
Other
Enumeration date
10/29/2008
Last updated
02/05/2009
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