Jason Brenner

NPI #1285044222 in Franklin Park, Illinois

Provider Information

NPI Number
1285044222
Entity Type
Individual
Name
Jason Brenner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Apr 29, 2014
Last Updated
Sep 16, 2015

Practice Location

Address
10020 GRAND AVE
ZIP Code
60131-2547
Phone
(847) 455-8383

Specialties & Taxonomy Codes

Specialty
Dentist

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