Individual
BROOKE MIDDENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
433 OGDEN AVE, CLARENDON HILLS, IL 60514-2814
(630) 320-8888
Mailing address
433 OGDEN AVE, CLARENDON HILLS, IL 60514-2814
(630) 320-8888
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1179030
IL
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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