Individual
COLE PETER BRENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4017 DUPONT AVE S, MINNEAPOLIS, MN 55409-1429
(612) 865-8632
Mailing address
4017 DUPONT AVE S, MINNEAPOLIS, MN 55409-1429
(612) 865-8632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12802
MN
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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