| Heidi M Brandenburg Dds Pa | |
|
3948 W 50th St Ste 201 Edina MN 55424-1210 | |
| (952) 722-8787 | |
| (952) 922-5595 |
| Full Name | Heidi M Brandenburg Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 3948 W 50th St, Edina, Minnesota |
| Authorized Official Name and Position | Heidi Marie Brandenburg (OWNER) |
| Authorized Official Contact | 9529228787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi M Brandenburg Dds Pa 3948 W 50th St Ste 201 Edina MN 55424-1210 Ph: (952) 722-8787 | Heidi M Brandenburg Dds Pa 3948 W 50th St Ste 201 Edina MN 55424-1210 Ph: (952) 722-8787 |
| NPI Number | 1992706550 |
|---|---|
| Provider Enumeration Date | 08/04/2005 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992706550 | NPI | - | NPPES |
| 78956BR | Other | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10348 (Minnesota) | Primary |
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