| Dankle Brunson And Lee, Ltd. | |
|
102 W Springfield Ave Champaign IL 61820-4814 | |
| (217) 352-9688 | |
| (217) 398-7813 |
| Full Name | Dankle Brunson And Lee, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 W Springfield Ave, Champaign, Illinois |
| Authorized Official Name and Position | Jeffrey Todd Brunson (OWNER) |
| Authorized Official Contact | 2173529688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dankle Brunson And Lee, Ltd. 102 W Springfield Ave Champaign IL 61820-4814 Ph: (217) 352-9688 | Dankle Brunson And Lee, Ltd. 102 W Springfield Ave Champaign IL 61820-4814 Ph: (217) 352-9688 |
| NPI Number | 1629186713 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629186713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060001223 (Illinois) | Primary |
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