DR. Brandon J Hissong, DMD

NPI #1952325417 in Monticello, Illinois

Provider Information

NPI Number: 1952325417
Entity Type: Individual
Name: DR. Brandon J Hissong, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 27, 2006
Last Updated: Sep 24, 2007

Practice Location

Address: 806 W BRIDGE ST
City: Monticello
State: Illinois
ZIP Code: 61856-1038
Phone: (217) 762-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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