DR. Michael Lee Brechon SR., D.D.S.

NPI #1780776047 in Belvidere, Illinois

Provider Information

NPI Number: 1780776047
Entity Type: Individual
Name: DR. Michael Lee Brechon SR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 W LINCOLN AVE
City: Belvidere
State: Illinois
ZIP Code: 61008-3231
Phone: (815) 544-2721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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