Organization
HARVEY H BRECKNER D.M.D.,M.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY H BRECKNER (DENTIST)
(618) 307-3267
Entity
Organization
Contact information
Practice address
600 COUNTRY CLUB VIEW SUITE 4, EDWARDSVILLE, IL 62025
(618) 307-3267
Mailing address
600 COUNTRY CLUB VIEW SUITE 4, EDWARDSVILLE, IL 62025
(618) 307-3267
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
19020061
IL
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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