DR. Jennifer Marie Burge, DDS

NPI #1407143407 in Normal, Illinois

Provider Information

NPI Number
1407143407
Entity Type
Individual
Name
DR. Jennifer Marie Burge, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 29, 2011
Last Updated
Jun 29, 2011

Practice Location

Address
305 S LINDEN ST
City
Normal
ZIP Code
61761-4901
Phone
(309) 454-1425

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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