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1134268071
BRANDON ROBERT MADDOX
SPRINGFIELD, IL
NPI
1134268071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025561)
Enumeration Date
2007-02-06
Last Update Date
2023-09-16
Business Address
Dr. BRANDON ROBERT MADDOX D.M.D.
1100 RICKARD RD SUITE B
SPRINGFIELD, IL 62704-6301
Phone number: 217-546-4738
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Mailing Address
Dr. BRANDON ROBERT MADDOX D.M.D.
1100 RICKARD RD SUITE B
SPRINGFIELD, IL 62704-6301
Phone number: 217-546-4738
Copy
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