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Dr. Michael Lee Brechon Jr., DDS

Dentist, General Practice in Belvidere, IL. Individual provider (NPI-1).

NPI number1982127593
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982127593
Entity type
Individual (NPI-1)
Name
Dr. Michael Lee Brechon Jr.
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019031293ILYes

Practice location

115 W Lincoln Ave
Belvidere, IL 61008-3231

Phone 815-544-2721

Mailing address

115 W Lincoln Ave
Belvidere, IL 61008-3231

Phone 815-544-2721

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