Individual
DR. BRANDON YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1915 VAUGHN RD, WOOD RIVER, IL 62095-2511
(618) 259-2007
Mailing address
1915 VAUGHN RD, WOOD RIVER, IL 62095-2511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030718
IL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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