Thomas B Braun Dds Pc | |
2312 Plainfield Rd Crest Hill IL 60403 | |
(815) 744-7175 | |
(815) 744-7196 |
Full Name | Thomas B Braun Dds Pc |
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Speciality | Dentist - Periodontics |
Location | 2312 Plainfield Rd, Crest Hill, Illinois |
Authorized Official Name and Position | Thomas Barrett Braun (PRESIDENT) |
Authorized Official Contact | 8157447175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas B Braun Dds Pc 2312 Plainfield Rd Crest Hill IL 60403 Ph: (815) 744-7175 | Thomas B Braun Dds Pc 2312 Plainfield Rd Crest Hill IL 60403 Ph: (815) 744-7175 |
NPI Number | 1689732109 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689732109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (Illinois) | Primary |
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