Most Relevant Information
Provider Data
| NPI Number: | 1003507914 |
| Provider Name: | EMILY BOURKE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 7692 |
Most Important Dates
| Enumeration Date: | 05/19/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
1801 PARKVIEW DR
EL RENO
OK
730362103
Practice Location Phone/Fax
| Phone: | 4052951500 |
| Fax: |
Provider Mailing Location
4420 JORDAN AVE
EDMOND
OK
730134740
Provider Mailing Phone/Fax
| Phone: | 4053153758 |
| Fax: |