Individual
KEITH M BRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1440 MAPLE AVE STE 3A, LISLE, IL 60532-4135
(630) 963-9280
(630) 964-6980
Mailing address
1440 MAPLE AVE STE 3A, LISLE, IL 60532-4135
(630) 963-9280
(630) 964-6980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
028053
IL
Other
Enumeration date
05/04/2007
Last updated
08/08/2023
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