Organization
ALTON AREA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. DAVID BRICKMAN D.D.S., M.S. (ORTHODONTIST)
16184621081
Entity
Organization
Contact information
Practice address
1816 MAIN ST, ALTON, IL 62002-4724
(618) 462-1081
Mailing address
1816 MAIN ST, ALTON, IL 62002-4724
(618) 462-1081
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19024626
IL
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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