Organization
BRIAN REARDON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN REARDON DDS (PRESIDENT)
(630) 832-8045
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019630
IL
Other
Enumeration date
11/07/2006
Last updated
02/10/2012
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