Individual
DR. BRENDAN THOMAS VASTLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
46 S WEBER RD, ROMEOVILLE, IL 60446-4947
(815) 293-1500
Mailing address
23820 W DAYFIELD DR, PLAINFIELD, IL 60586-7711
(815) 992-8393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032600
IL
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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