DR. Brian Michael Penniall, D.D.S.

NPI #1659466936 in Saint Charles, Illinois

Provider Information

NPI Number: 1659466936
Entity Type: Individual
Name: DR. Brian Michael Penniall, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40W330 LAFOX ROAD
Address 2: SUITE C-1
City: Saint Charles
State: Illinois
ZIP Code: 60175
Phone: (630) 444-1730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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