Diane Marie Brandlein, DDS

NPI #1861652919 in South Beloit, Illinois

Provider Information

NPI Number: 1861652919
Entity Type: Individual
Name: Diane Marie Brandlein, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 12, 2008
Last Updated: Jun 12, 2008

Practice Location

Address: 1917 BLACKHAWK BLVD
City: South Beloit
State: Illinois
ZIP Code: 61080
Phone: (815) 389-3605

Specialties & Taxonomy Codes

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

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