Individual
JULIE E BURKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
11265 NORA LN, CARTERVILLE, IL 62918-1760
(217) 855-8705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030815
IL
Other
Enumeration date
09/01/2016
Last updated
08/16/2021
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