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Individual

DR. BRIAN OVERMYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
284 MEMORIAL CT, SUITE A, CRYSTAL LAKE, IL 60014-6231
(815) 477-3700
Mailing address
284 MEMORIAL CT, SUITE A, CRYSTAL LAKE, IL 60014-6231
(815) 477-3700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022498
IL

Other

Enumeration date
06/04/2013
Last updated
06/04/2013
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