NPI 1346839263

Brooke Middendorf, CDA

Practitioner Dental Assistant Clarendon Hills, IL

Practice location

Address: 433 Ogden Ave, Clarendon Hills, IL 60514-2814
Phone: (630) 320-8888

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 1179030 (IL)

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Registry record

NPI: 1346839263
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2021
Record last updated: 14 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.