David Thomas Jonke, D.D.S.
Dentist in Lakewood,, OH. Individual provider (NPI-1).
NPI number1265828131
StatusActive
Last updated in NPPESApr 8, 2015
Details
- NPI
- 1265828131
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Thomas Jonke
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2015
- Last updated
- Apr 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 13691 | OH | Yes |
Other names
- David Thomas Jonke (Professional Name)
Practice location
15640 Madison Ave.Lakewood,, OH 44107
Phone 216-228-1012
Mailing address
15640 Madison Ave.Lakewood,, OH 44107
Phone 216-228-1012
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