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Individual

LYNSE JO BRINEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
950 OGDEN AVE, DOWNERS GROVE, IL 60515-2810
(630) 743-6700
Mailing address
950 OGDEN AVE, DOWNERS GROVE, IL 60515-2810
(773) 503-0370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-026699
IL
1223P0221X
Pediatric Dentistry
Primary
021.002423
IL

Other

Enumeration date
10/23/2006
Last updated
10/18/2023
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