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MITCHELL BRIAN MCSHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
901 BIESTERFIELD RD, ELK GROVE VLG, IL 60007-3392
(847) 437-8366
Mailing address
901 BIESTERFIELD RD, ELK GROVE VLG, IL 60007-3392
(847) 437-8366

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033327
IL

Other

Enumeration date
08/05/2021
Last updated
09/09/2021
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