Individual
JOHN ALAN BURWINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3292 ELIDA RD, LIMA, OH 45805-1249
(419) 228-5000
Mailing address
46 GREENTREE CIR, CRIDERSVILLE, OH 45806-2280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023533
OH
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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