Harvey H Breckner D.m.d.,m.s

NPI 1447415757 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1447415757
Enumeration Date 07/25/2008
Last Updated 07/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name HARVEY H HARVEY
Position DENTIST
Phone (618) 307-3267
Fax
Practice Location
600 COUNTRY CLUB VIEW SUITE 4
EDWARDSVILLE IL, 62025, US
Phone (618) 307-3267
Fax
Business Location
600 COUNTRY CLUB VIEW SUITE 4
EDWARDSVILLE IL, 62025, US
Phone (618) 307-3267
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Illinois
License Number 19020061
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According to our database, Harvey H Breckner D.m.d.,m.s NPI is 1447415757, taxonomy code is 302F00000X and license number is 19020061, license state is located at Illinois. Harvey H Breckner D.m.d.,m.s physically located at 600 Country Club View Suite 4, Edwardsville IL, 62025. NPI Number 1033115704 has the healthcare provider type.

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1447415757 NPI number is provided on an as is basis without warranty of any kind. 1447415757 is maintained by the National Plan & Provider Enumeration System. The contents of Harvey H Breckner D.m.d.,m.s are for informational purposes only.