# BRUENING DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chesterfield Woodlake Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043788482
- **Authorized official:** DR. ANDREW ROGER BRUENING DDS (MANAGER)
- **Authorized official phone:** (636) 448-1085

## Contact information

- **Practice address:** 14377 WOODLAKE DR STE 206, CHESTERFIELD, MO 63017-5735
- **Practice address phone:** (314) 878-8880
- **Mailing address:** 130 HILLTOWN VILLAGE CTR, CHESTERFIELD, MO 63017-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2018
- **Last updated:** 11/03/2018