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Organization
JORDAN BRENNER DDS, PLLC
Active
Organization
JORDAN BRENNER DDS, PLLC
Active
Other names
Bright 32
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN MCDONALD BRENNER D.D.S. (DENTIST)
(563) 271-9529
Entity
Organization
Contact information
Practice address
1359 N 205TH ST, SUITE A, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Mailing address
1359 N 205TH ST, SUITE A, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60291757
WA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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