Organization
CRAIG J BRANDENBURG DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG J BRANDENBURG DDS (OWNER)
(612) 721-6233
Entity
Organization
Contact information
Practice address
5201 BLOOMINGTON AVE, MINNEAPOLIS, MN 55417-1819
(612) 721-6233
(612) 721-5723
Mailing address
5201 BLOOMINGTON AVE, MINNEAPOLIS, MN 55417-1819
(612) 721-6233
(612) 721-5723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9418
MN
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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