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Organization
DANIEL BRENGMAN DDS, PA
Active
Organization
DANIEL BRENGMAN DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BRENGMAN DDS (OWNER -PRESIDENT)
(651) 905-9090
Entity
Organization
Contact information
Practice address
3825 CEDAR GROVE PKWY, SUITE 1101, EAGAN, MN 55122-1419
(651) 905-9090
Mailing address
3825 CEDAR GROVE PKWY, SUITE 1101, EAGAN, MN 55122-1419
(651) 905-9090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9954
MN
Other
Enumeration date
05/14/2007
Last updated
03/22/2017
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