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Individual

RICHARD MARTIN BURKE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
112 E LINN ST, MARSHALLTOWN, IA 50158
(641) 844-6230
(641) 844-6235
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08579
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1197186
IA
Enumeration date
09/11/2006
Last updated
07/31/2019
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