Individual
HARVEY BRECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
600 COUNTRY CLUB VW, SUITE 4, EDWARDSVILLE, IL 62025-3696
(618) 307-3267
Mailing address
600 COUNTRY CLUB VW, SUITE 4, EDWARDSVILLE, IL 62025-3696
(618) 307-3267
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19020061
IL
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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