MARK GREGORY BRUNK

VANDALIA, IL
NPI1871668012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019019107)
Enumeration Date2006-11-22
Last Update Date2007-07-09
Business Address
Dr. MARK GREGORY BRUNK D.M.D.
607 W ORCHARD ST
VANDALIA, IL 62471-1234
Phone number: 618-283-2929
Mailing Address
Dr. MARK GREGORY BRUNK D.M.D.
607 W ORCHARD ST
VANDALIA, IL 62471-1234
Phone number: 618-283-2929
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