Individual
DR. COLLIN C. BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 N ASHLAND AVE, CHICAGO, IL 60622-5111
(773) 546-9126
Mailing address
901 N ASHLAND AVE, CHICAGO, IL 60622-5111
(773) 546-9126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035413
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2024
Last updated
06/20/2025
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