Organization
BRUENING DENTAL LLC
Active
Other names
Chesterfield Woodlake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROGER BRUENING DDS (MANAGER)
(636) 448-1085
Entity
Organization
Contact information
Practice address
14377 WOODLAKE DR STE 206, CHESTERFIELD, MO 63017-5735
(314) 878-8880
Mailing address
130 HILLTOWN VILLAGE CTR, CHESTERFIELD, MO 63017-0709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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