Individual
RICHARD BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
211 W CHICAGO AVE, SUITE 110, HINSDALE, IL 60521-3355
(630) 323-0409
(630) 323-2795
Mailing address
211 W CHICAGO AVE, SUITE 110, HINSDALE, IL 60521-3355
(630) 323-0409
(630) 323-2795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020454
IL
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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