Individual
KEGAN J BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1169 HILLTOP PKWY UNIT 203, STEAMBOAT SPRINGS, CO 80487-2523
(970) 871-0033
Mailing address
1169 HILLTOP PKWY UNIT 203, STEAMBOAT SPRINGS, CO 80487-2523
(307) 426-4014
(307) 426-4016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1555
WY
1223G0001X
General Practice Dentistry
Primary
205103
CO
Other
Enumeration date
08/18/2020
Last updated
07/12/2023
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