Lonn E Brander DDS Ltd

NPI #1477975175 in Rockford, Illinois

Provider Information

NPI Number: 1477975175
Entity Type: Organization
Organization Name: Lonn E Brander DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2014
Last Updated: Sep 8, 2014

Practice Location

Address: 5668 E STATE ST
Address 2: SUITE 1100
City: Rockford
State: Illinois
ZIP Code: 61108-2490
Phone: (815) 977-5281

Authorized Official

Name: DR. LONN EDWARD BRANDER, DDS
Title: OWNER
Phone: (815) 756-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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