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Organization

BRINLEY ORTHODONTICS, LLC

Active
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Organization

BRINLEY ORTHODONTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE BRINLEY DDS (OWNER/PRESIDENT)
(618) 288-3384
Entity
Organization

Contact information

Practice address
2023 VADALABENE DR, MARYVILLE, IL 62062-5631
(618) 288-3384
Mailing address
2023 VADALABENE DR, MARYVILLE, IL 62062-5631

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019027848
IL

Other

Enumeration date
06/03/2009
Last updated
06/03/2009
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