BRIAN B PENLY

COUNCIL BLUFFS, IA
NPI1942520655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IA  08708)
Additional Taxonomies122300000X Dentist
(Licence: NE  6888)
Enumeration Date2010-06-03
Last Update Date2010-06-23
Business Address
Dr. BRIAN B PENLY DDS
3549 11TH AVE
COUNCIL BLUFFS, IA 51501-5641
Phone number: 712-328-0708
Mailing Address
Dr. BRIAN B PENLY DDS
3549 11TH AVE
COUNCIL BLUFFS, IA 51501-5641
Phone number: 712-328-0708
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