Daniel Brengman Dds, Pa | |
3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 | |
(651) 905-9090 | |
Not Available |
Full Name | Daniel Brengman Dds, Pa |
---|---|
Speciality | Clinic/center - Dental |
Location | 3825 Cedar Grove Pkwy, Eagan, Minnesota |
Authorized Official Name and Position | Daniel Brengman (OWNER -PRESIDENT) |
Authorized Official Contact | 6519059090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel Brengman Dds, Pa 3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 Ph: (651) 905-9090 | Daniel Brengman Dds, Pa 3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 Ph: (651) 905-9090 |
NPI Number | 1306051230 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 03/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306051230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 9954 (Minnesota) | Primary |
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