Mary Hagan Burke DDS

NPI 1417166000 - Dentist - 1223P0300X

NPI Details
NPI 1417166000
Gender Female
Enumeration Date 05/21/2007
Last Updated 05/13/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
5600 OAKLAND AVE
DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARK
SAINT LOUIS MO, 63110-1393, US
Phone (314) 644-9630
Fax (314) 951-9490
Business Location
918 WOODLEIGH CT
SAINT LOUIS MO, 63122-4805, US
Phone (314) 821-2588
Fax (314) 821-2903
Toxanomy
Taxonomy Code 1223P0300X
License State Missouri
License Number 012706
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According to our database, Dr. Mary Hagan Burke DDS NPI is 1417166000, taxonomy code is 1223P0300X and license number is 012706, license state is located at Missouri. Mary Hagan Burke DDS physically located at 5600 Oakland Ave, Saint Louis MO, 63110-1393. NPI Number Mary Hagan Burke DDS has the Individual type.

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1417166000 NPI number is provided on an as is basis without warranty of any kind. 1417166000 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Hagan Burke DDS are for informational purposes only.