Individual
MR. JAY PATRICH BRENDEMUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
5100 EASTPARK BLVD, MADISON, WI 53718-2149
(608) 222-8232
Mailing address
5100 EASTPARK BLVD, MADISON, WI 53718-2149
(608) 222-8232
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5204
WI
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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