Organization
BRAINARD G. LLANES DDS, LTD.
Active
Other names
Modern Essence Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAINARD G. LLANES DDS (PRESIDENT)
(312) 953-2953
Entity
Organization
Contact information
Practice address
818 E NERGE RD, ROSELLE, IL 60172-4884
(630) 582-0878
(630) 582-0898
Mailing address
818 E NERGE RD, ROSELLE, IL 60172-4884
(630) 582-0878
(630) 582-0898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.025966
IL
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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