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Individual

DR. BRANDON MICHAEL PIPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
469 W WOOD ST, DECATUR, IL 62522-3109
(217) 428-3512
(217) 428-3525
Mailing address
469 W WOOD ST, DECATUR, IL 62522-3109
(217) 428-3512
(217) 428-3525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027684
IL

Other

Enumeration date
11/06/2009
Last updated
12/04/2009
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