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AUDREY BRAKENSIEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
708 E BETHALTO DR, BETHALTO, IL 62010-1871
(618) 377-0044
Mailing address
1905 TYLER TIMMINS DR APT 6, WOOD RIVER, IL 62095-3388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019037186
IL

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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