SearchIllinois122300000X

Brian Penniall, D.D.S

NPI 1659466936 · on the registry since 2006 · sole proprietor

Practice

Address
40w330 Lafox Road
Suite C-1
Saint Charles, IL 60175
Phone
(630) 444-1730
Fax
(630) 444-1732

Registry record

Primary taxonomy
122300000X
122300000X
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