Individual
VICKIE LOU BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8851 HAGUE ROAD, INDIANAPOLIS, IN 46256-1284
(317) 849-8452
(317) 577-1829
Mailing address
8851 HAGUE ROAD, INDIANAPOLIS, IN 46256-1284
(317) 849-8452
(317) 577-1829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008371
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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