| Brinley Orthodontics, Llc | |
|
2023 Vadalabene Dr Maryville IL 62062-5631 | |
| (618) 288-3384 | |
| Not Available |
| Full Name | Brinley Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2023 Vadalabene Dr, Maryville, Illinois |
| Authorized Official Name and Position | Christine Brinley (OWNER/PRESIDENT) |
| Authorized Official Contact | 6182883384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brinley Orthodontics, Llc 2023 Vadalabene Dr Maryville IL 62062-5631 Ph: () - | Brinley Orthodontics, Llc 2023 Vadalabene Dr Maryville IL 62062-5631 Ph: (618) 288-3384 |
| NPI Number | 1619103819 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619103819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019027848 (Illinois) | Primary |
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