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Individual
PETER JOSEPH BRENNY
Active
Individual
PETER JOSEPH BRENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8927
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000040915
UNITED CONCORDIA
—
01
—
81263BR
BLUE CROSS BLUE SHIELD
—
01
—
9183235
DORAL USA
—
Enumeration date
12/18/2006
Last updated
07/08/2007
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