| Bryan Douglas Brenner Pllc | |
|
215 1st Ave W Suite #100 Seattle WA 98119 | |
| (206) 258-4965 | |
| (206) 258-4966 |
| Full Name | Bryan Douglas Brenner Pllc |
|---|---|
| Speciality | Dentist |
| Location | 215 1st Ave W Suite #100, Seattle, Washington |
| Authorized Official Name and Position | Bryan Douglas Brenner (DENTIST) |
| Authorized Official Contact | 2062584965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Douglas Brenner Pllc 215 1st Ave W Suite #100 Seattle WA 98119 Ph: (206) 258-4965 | Bryan Douglas Brenner Pllc 215 1st Ave W Suite #100 Seattle WA 98119 Ph: (206) 258-4965 |
| NPI Number | 1699553636 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Medicare PECOS PAC ID | 2264838788 |
|---|---|
| Medicare Enrollment ID | O20230517003080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699553636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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