Individual
DR. IRENE C BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
964 FRANKLIN LAKES RD, FRANKLIN LAKES, NJ 07417-2153
(201) 891-1171
Mailing address
5 HANNAH RD, OAKLAND, NJ 07436-2513
(201) 651-0207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01541700
NJ
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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