Individual
BRIAN L. O'BYRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
49 W ACORN LN, LAKE IN THE HILLS, IL 60156-4804
(847) 854-0016
Mailing address
49 W ACORN LN, LAKE IN THE HILLS, IL 60156-4804
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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