Individual
DR. BRENT EDWARD AGRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5820 N CLARK ST STE 1S, CHICAGO, IL 60660
(773) 561-2237
(773) 878-5467
Mailing address
5820 N CLARK ST STE 1S, CHICAGO, IL 60660-3213
(773) 561-2237
(773) 878-5467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027610
IL
Other
Enumeration date
05/23/2008
Last updated
05/18/2018
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