DR. Brandon Meckelberg, DDS

NPI #1457871188 in Champaign, Illinois

Provider Information

NPI Number
1457871188
Entity Type
Individual
Name
DR. Brandon Meckelberg, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 23, 2017
Last Updated
Jun 23, 2017

Practice Location

Address
1902 N PROSPECT AVE STE 1
ZIP Code
61822-1411
Phone
(217) 408-2511

Specialties & Taxonomy Codes

Specialty
Dentist

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