Individual
DR. BRIAN REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
530 S CHERRY ST, ELMHURST, IL 60126-3900
(630) 832-8045
Mailing address
530 S CHERRY ST, ELMHURST, IL 60126-3900
(630) 832-8045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019630
IL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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