Organization
LONN E BRANDER DDS LTD
Active
Other names
Brander Sleep Wellness Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONN EDWARD BRANDER DDS (OWNER)
(815) 756-2295
Entity
Organization
Contact information
Practice address
5668 E STATE ST, SUITE 1100, ROCKFORD, IL 61108-2490
(815) 977-5281
(815) 977-5361
Mailing address
5668 E STATE ST, SUITE 1100, ROCKFORD, IL 61108-2490
(815) 977-5281
(815) 977-5361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022322
IL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/15/2014
Last updated
09/08/2014
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