Individual
BENJAMIN J BRUBAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
318 N MADISON ST, LITCHFIELD, IL 62056-1911
(217) 324-6223
(217) 324-9101
Mailing address
318 N MADISON ST, LITCHFIELD, IL 62056-1911
(217) 324-6223
(217) 324-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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