| David T Jonke Dds Inc | |
|
15640 Madison Ave Lakewood OH 44107 | |
| (216) 228-1012 | |
| Not Available |
| Full Name | David T Jonke Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 15640 Madison Ave, Lakewood, Ohio |
| Authorized Official Name and Position | David Thomas Jonke (OWNER PRESIDENT) |
| Authorized Official Contact | 2162281012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David T Jonke Dds Inc 15640 Madison Ave Lakewood OH 44107 Ph: (216) 228-1012 | David T Jonke Dds Inc 15640 Madison Ave Lakewood OH 44107 Ph: (216) 228-1012 |
| NPI Number | 1497942775 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497942775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13691 (Ohio) | Primary |
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