Individual
BROOKE BRIANNE DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 656-0608
Mailing address
169 HOLIDAY DR, EDWARDSVILLE, IL 62025-5317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019037241
IL
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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