Individual
TEDDY WILLIS BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23325 WATER ST, HAMPTON, MN 55031-9798
(651) 437-8086
Mailing address
PO BOX 68, HAMPTON, MN 55031-0068
(651) 437-8086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8073
MN
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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