Individual
GABRIELLA TATIANA BRIGANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MBS
Contact information
Practice address
1355 N GALENA AVE, DIXON, IL 61021-1009
(815) 284-1995
Mailing address
9000 S 85TH CT, HICKORY HILLS, IL 60457-1331
(708) 217-4465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034206
IL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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