Individual
BRIAN L HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 S VINE, SUITE 2, SHELBYVILLE, IL 62565
(217) 774-2822
(217) 235-0396
Mailing address
PO BOX 174, 101 S VINE SUITE 2, SHELBYVILLE, IL 62565
(217) 774-2822
(217) 235-0396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19022896
IL
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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