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Search › Illinois › General Practice Dentistry

Brett Blacher

NPI 1376615948 · on the registry since 2006 · sole proprietor

Practice

Address
450 E 22nd St Ste 201
Lombard, IL 60148
Phone
(630) 916-0701
Fax
(630) 916-4647
Organisation at this address
Carie Johnstone
Nicole A. Dugger
Madrigal Consulting
Us Medical Labs Inc
Rain Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois