Individual
DR. BRIAN WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
522 CHESTNUT ST, SUITE GA, HINSDALE, IL 60521-3171
(630) 655-3636
Mailing address
522 CHESTNUT ST, SUITE GA, HINSDALE, IL 60521-3171
(630) 655-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025869
IL
1223E0200X
Endodontics
021002266
IL
Other
Enumeration date
01/09/2006
Last updated
07/26/2008
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