Individual
DR. BARRY I. BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2340 S 12TH ST, PHILADELPHIA, PA 19148-3540
(215) 389-7982
(215) 389-7966
Mailing address
2340 S 12TH ST, PHILADELPHIA, PA 19148-3540
(215) 389-7982
(215) 389-7966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-023108-L
PA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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