GARY NEAL BRENNER

SOUTHAMPTON, NY
NPI1184872970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NY  040360)
Enumeration Date2008-09-04
Last Update Date2008-09-04
Business Address
-- GARY NEAL BRENNER DMD
97 N MAIN ST
SOUTHAMPTON, NY 11968-3309
Phone number: 631-283-6362
Mailing Address
-- GARY NEAL BRENNER DMD
97 N MAIN ST
SOUTHAMPTON, NY 11968-3309
Phone number: 631-283-6362