Brenner Dental Group

NPI #1699190488 in Buffalo, Minnesota

Provider Information

NPI Number
1699190488
Entity Type
Organization
Organization Name
Brenner Dental Group
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 3, 2014
Last Updated
Mar 3, 2014

Practice Location

Address
102 MARTY DR
Address 2
SUITE 3
ZIP Code
55313-9305
Phone
(763) 682-2101

Authorized Official

Name
DR. COREY J BRENNER, DDS
Title
OWNER
Phone
(612) 819-1223

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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