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Individual

MR. DAVID THOMAS JONKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
15640 MADISON AVE., LAKEWOOD,, OH 44107
(216) 228-1012
Mailing address
15640 MADISON AVE., LAKEWOOD,, OH 44107
(216) 228-1012

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13691
OH

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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