| 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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