Individual
DR. JENNIFER MARIE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 S LINDEN ST, NORMAL, IL 61761-4901
(309) 454-1425
(309) 862-3933
Mailing address
305 S LINDEN ST, NORMAL, IL 61761-4901
(309) 454-1425
(309) 862-3933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028689
IL
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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