Pamela Louise Brosnan, D.D.S.
Dentist, General Practice in Lombard, IL. Individual provider (NPI-1).
NPI number1144346743
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144346743
- Entity type
- Individual (NPI-1)
- Name
- Pamela Louise Brosnan
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019024876 | IL | Yes |
Practice location
450 E 22nd StreetSte 201
Lombard, IL 60148-6176
Phone 630-916-0701 · Fax 630-916-4647
Mailing address
450 E 22nd StSte 201
Lombard, IL 60148-6176
Phone 630-916-0701 · Fax 630-916-4647
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