John Andrew O'brien DDS

NPI 1629120209 - Dentist - 1223G0001X

NPI Details
NPI 1629120209
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5301 E STATE ST
SUITE 306
ROCKFORD IL, 61108-2901, US
Phone (815) 399-2542
Fax
Business Location
5301 E STATE ST
SUITE 306
ROCKFORD IL, 61108-2901, US
Phone (815) 399-2542
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. John Andrew O'brien DDS NPI is 1629120209, taxonomy code is 1223G0001X John Andrew O'brien DDS physically located at 5301 E State St, Rockford IL, 61108-2901. NPI Number John Andrew O'brien DDS has the Individual type.

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1629120209 NPI number is provided on an as is basis without warranty of any kind. 1629120209 is maintained by the National Plan & Provider Enumeration System. The contents of John Andrew O'brien DDS are for informational purposes only.