Individual
DR. ALAN JEFFREY BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3218 COURT ST, PEKIN, IL 61554-6209
(309) 347-8590
(309) 347-8612
Mailing address
3218 COURT ST, PEKIN, IL 61554-6209
(309) 347-8590
(309) 347-8612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1915532
IL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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