Individual
DR. JENNIFER K BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1099 BELT LINE RD, SUITE A, COLLINSVILLE, IL 62234-4380
(618) 344-4527
(618) 344-7380
Mailing address
1099 BELT LINE RD, SUITE A, COLLINSVILLE, IL 62234-4380
(618) 344-4527
(618) 344-7380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027083
IL
Other
Enumeration date
08/19/2006
Last updated
04/18/2011
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