Organization
DAVID T JONKE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID THOMAS JONKE DDS (OWNER PRESIDENT)
(216) 228-1012
Entity
Organization
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
10/01/2007
Last updated
10/01/2007
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