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Organization
JORDAN AND KEGAN BRENNER, DDS, PLLC
Active
Organization
JORDAN AND KEGAN BRENNER, DDS, PLLC
Active
Other names
AvantGarde Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEGAN BRENNER DDS (OWNER, DENTIST)
(307) 286-3956
Entity
Organization
Contact information
Practice address
1169 HILLTOP PKWY, STEAMBOAT SPRINGS, CO 80487-3173
(307) 286-3956
Mailing address
110 W 5TH AVE, CHEYENNE, WY 82001-1347
(307) 286-3956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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