Organization
ELMBROOK FAMILY DENTAL PARTNERS SC
Active
Other names
ELMBROOK FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON ANDREW BRUNNER D.D.S. (PRESIDENT)
(262) 784-7201
Entity
Organization
Contact information
Practice address
125 N EXECUTIVE DR, SUITE 105, BROOKFIELD, WI 53005-6070
(262) 784-7201
(262) 784-0542
Mailing address
125 N EXECUTIVE DR, SUITE 105, BROOKFIELD, WI 53005-6070
(262) 784-7201
(262) 784-0542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5526-015
WI
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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