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Organization

BRAAM-HACKNEY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE BRAAM DMD (PRESIDENT)
(773) 631-1364
Entity
Organization

Contact information

Practice address
6437 N CENTRAL AVE, CHICAGO, IL 60646-2901
(773) 631-1364
Mailing address
5764 N MANGO AVE, CHICAGO, IL 60646-6308

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/21/2023
Last updated
04/21/2023
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