Individual
THOMAS BARRETT BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2312 PLAINFIELD RD., CREST HILL, IL 60403
(815) 744-7175
Mailing address
2312 PLAINFIELD RD., CREST HILL, IL 60403
(815) 744-7175
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021.001429
IL
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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