Donald B Braunagel, DDS Valid NPI
Individual provider · General Practice Dentistry · Peoria Heights, IL
- NPI
- 1578619524
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 61910806 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-25
- Last updated
- 2007-07-08
Practice location
924b F Glen Ave
Peoria Heights, IL 61616
(309) 688-7321