Organization
BURKE DENTAL, PLLC
Active
Other names
Stag Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIK RICHARD BURKE DDS, GPR (OWNER/DOCTOR)
(231) 642-2042
Entity
Organization
Contact information
Practice address
116 W MAIN ST, KINGSLEY, MI 49649-5109
(231) 642-2042
Mailing address
PO BOX 518, KINGSLEY, MI 49649-0518
(231) 642-2042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
802133003
MI
Other
Enumeration date
04/10/2018
Last updated
01/04/2020
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