Elmbrook Family Dental Partners Sc
NPI #1134448632 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1134448632
- Entity Type
- Organization
- Organization Name
- Elmbrook Family Dental Partners Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2010
- Last Updated
- May 24, 2010
Practice Location
- Address
- 125 N EXECUTIVE DR
- Address 2
- SUITE 105
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-6070
- Phone
- (262) 784-7201
Authorized Official
- Name
- DR. BRANDON ANDREW BRUNNER, D.D.S.
- Title
- PRESIDENT
- Phone
- (262) 784-7201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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