NPI | 1316092190 |
---|---|
Doing Business As | BRENNAN DENTAL GROUP PC |
Entity Type | Organization |
Authorized Contact | MATTHEW STEELE BRENNAN Dentist Owner 574-259-9956 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |