Individual
DR. COREY J BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9000 WALNUT ST, ROCKFORD, MN 55373-0236
(763) 477-5794
Mailing address
8900 WALNUT ST, BOX 236, ROCKFORD, MN 55373-0236
(763) 477-5794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11525
MN
Other
Enumeration date
12/23/2005
Last updated
12/23/2015
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