Miles Edwin Brundage DDS

NPI 1437363157 - Dentist - 1223G0001X

NPI Details
NPI 1437363157
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
137 N OAK PARK AVE
SUITE 202
OAK PARK IL, 60301-1344, US
Phone (708) 524-0330
Fax (708) 524-0136
Business Location
137 N OAK PARK AVE
SUITE 202
OAK PARK IL, 60301-1344, US
Phone (708) 524-0330
Fax (708) 524-0136
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Miles Edwin Brundage DDS NPI is 1437363157, taxonomy code is 1223G0001X Miles Edwin Brundage DDS physically located at 137 N Oak Park Ave, Oak Park IL, 60301-1344. NPI Number Miles Edwin Brundage DDS has the Individual type.

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1437363157 NPI number is provided on an as is basis without warranty of any kind. 1437363157 is maintained by the National Plan & Provider Enumeration System. The contents of Miles Edwin Brundage DDS are for informational purposes only.