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Organization

BREESE DENTAL CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY HOWARD DROEGE D.M.D. (OWNER)
(618) 526-2020
Entity
Organization

Contact information

Practice address
111 N MAIN ST, BREESE, IL 62230-1629
(618) 526-2020
(618) 526-8330
Mailing address
111 N MAIN ST, BREESE, IL 62230-1629
(618) 526-2020
(618) 526-8330

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019020712
IL

Other

Enumeration date
08/03/2016
Last updated
08/03/2016
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