COLLIN C. BRANT

CHICAGO, IL
NPI1003654492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.035413)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-18
Last Update Date2025-06-20
Business Address
Dr. COLLIN C. BRANT DDS
901 N ASHLAND AVE
CHICAGO, IL 60622-5111
Phone number: 773-546-9126
Mailing Address
Dr. COLLIN C. BRANT DDS
901 N ASHLAND AVE
CHICAGO, IL 60622-5111
Phone number: 773-546-9126