Individual
BRIAN PATRICK LABLONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
235 BURLINGTON AVE, CLARENDON HILLS, IL 60514-1148
(630) 325-9298
(630) 325-9299
Mailing address
235 BURLINGTON AVE, CLARENDON HILLS, IL 60514-1148
(630) 325-9298
(630) 325-9299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029188
IL
122300000X
Dentist
12011833A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629172671
DORAL
IL
Enumeration date
08/27/2012
Last updated
08/27/2012
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