| Bruening Dental Llc | |
|
14377 Woodlake Dr Ste 206 Chesterfield MO 63017-5735 | |
| (314) 878-8880 | |
| Not Available |
| Full Name | Bruening Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14377 Woodlake Dr Ste 206, Chesterfield, Missouri |
| Authorized Official Name and Position | Andrew Roger Bruening (MANAGER) |
| Authorized Official Contact | 6364481085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruening Dental Llc 130 Hilltown Village Ctr Chesterfield MO 63017-0709 Ph: () - | Bruening Dental Llc 14377 Woodlake Dr Ste 206 Chesterfield MO 63017-5735 Ph: (314) 878-8880 |
| NPI Number | 1043788482 |
|---|---|
| Provider Enumeration Date | 11/03/2018 |
| Last Update Date | 11/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043788482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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