Organization
HARVEY H. BRECKNER D.M.D.,M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY H BRECKNER (DENTIST)
(618) 206-2396
Entity
Organization
Contact information
Practice address
4933 BENCHMARK CENTRE DR. SUITE A, SWANSEA, IL 62226
(618) 206-2396
Mailing address
4933 BENCHMARK CENTRE DR. SUITE A, SWANSEA, IL 62226
(618) 206-2396
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
19020061
IL
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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