Cesario, Brandon David

Cesario, Brandon David is an individual health care provider with primary practice located at 1229 W Washington Blvd Ste 110 , Chicago IL 60607-2133. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cesario, Brandon David can be contacted via phone (312) 967-0103.

Contact Information

Primary practice address
1229 W Washington Blvd Ste 110 Chicago IL 60607-2133
Phone: (312) 967-0103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X LL855 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 021003132 Illinois

Profile Details

NPI number 1841758349
LBN Legal business name Cesario, Brandon David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2019
Last updated Feb 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841758349 NPPES
Maryland MEDICAID 119591300

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