Individual
DR. BRANDON HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1055 FEATHERSTONE RD, STE. B, ROCKFORD, IL 61107-5904
(815) 227-5858
Mailing address
1055 FEATHERSTONE RD, STE. B, ROCKFORD, IL 61107-5904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027462
IL
1223P0300X
Periodontics
021002370
IL
Other
Enumeration date
03/14/2008
Last updated
05/08/2015
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