BRIAN ANTHONY PRUDENT

MOLINE, IL
NPI1528114675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  019.025580)
Enumeration Date2007-01-25
Last Update Date2015-05-29
Business Address
BRIAN ANTHONY PRUDENT DMD
1828 AVENUE OF THE CITIES
MOLINE, IL 61265-4858
Phone number: 309-764-0008
Mailing Address
BRIAN ANTHONY PRUDENT DMD
1828 AVENUE OF THE CITIES
MOLINE, IL 61265-4858
Phone number: 309-764-0008