Brenner Dental Group | |
102 Marty Dr Suite 3 Buffalo MN 55313-9305 | |
(763) 682-2101 | |
Not Available |
Full Name | Brenner Dental Group |
---|---|
Speciality | Clinic/center - Dental |
Location | 102 Marty Dr, Buffalo, Minnesota |
Authorized Official Name and Position | Corey J Brenner (OWNER) |
Authorized Official Contact | 6128191223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brenner Dental Group 102 Marty Dr Suite 3 Buffalo MN 55313-9305 Ph: (763) 682-2101 | Brenner Dental Group 102 Marty Dr Suite 3 Buffalo MN 55313-9305 Ph: (763) 682-2101 |
NPI Number | 1699190488 |
---|---|
Provider Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699190488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D11525 (Minnesota) | Primary |
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› Verified 3 days ago
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