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1942520655
BRIAN B PENLY
COUNCIL BLUFFS, IA
NPI
1942520655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IA 08708)
Additional Taxonomies
122300000X Dentist
(Licence: NE 6888)
Enumeration Date
2010-06-03
Last Update Date
2010-06-23
Business Address
Dr. BRIAN B PENLY DDS
3549 11TH AVE
COUNCIL BLUFFS, IA 51501-5641
Phone number: 712-328-0708
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Mailing Address
Dr. BRIAN B PENLY DDS
3549 11TH AVE
COUNCIL BLUFFS, IA 51501-5641
Phone number: 712-328-0708
Copy
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