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Organization
BRIMFIELD FAMILY DENTISTRY, P.C.
Active
Organization
BRIMFIELD FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT MARTIN DMD (PRESIDENT)
(309) 396-3123
Entity
Organization
Contact information
Practice address
232 E KNOXVILLE ST, BRIMFIELD, IL 61517-8103
(309) 320-8750
(309) 233-2023
Mailing address
232 E KNOXVILLE ST, BRIMFIELD, IL 61517-8103
(309) 396-3123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
04/15/2021
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