Brian Reardon Dds Pc

NPI 1346319126 - Dentist - 122300000X

NPI Details
NPI 1346319126
Enumeration Date 11/07/2006
Last Updated 02/10/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN BRIAN
Position PRESIDENT
Phone (630) 832-8045
Fax
Practice Location
530 S CHERRY ST
ELMHURST IL, 60126-3900, US
Phone (630) 832-8045
Fax
Business Location
530 S CHERRY ST
ELMHURST IL, 60126-3900, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019019630
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According to our database, Brian Reardon Dds Pc NPI is 1346319126, taxonomy code is 122300000X and license number is 019019630, license state is located at Illinois. Brian Reardon Dds Pc physically located at 530 S Cherry St, Elmhurst IL, 60126-3900. NPI Number 1033115704 has the healthcare provider type.

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1346319126 NPI number is provided on an as is basis without warranty of any kind. 1346319126 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Reardon Dds Pc are for informational purposes only.