Individual
BRIAN R NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
425 BURLINGTON AVE, DOWNERS GROVE, IL 60515-5127
(630) 968-5900
(630) 968-5901
Mailing address
425 BURLINGTON AVE, DOWNERS GROVE, IL 60515-5127
(630) 968-5900
(630) 968-5901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018770
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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