Individual
MS. LAUREN MARIE BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
741 W STATE ST, O FALLON, IL 62269-1971
(618) 632-2282
Mailing address
14432 MAPLE DR, BREESE, IL 62230-3323
(618) 402-3299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032943
IL
1223G0001X
General Practice Dentistry
1002121
WI
Other
Enumeration date
06/18/2019
Last updated
05/04/2022
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