Individual
MR. ALEX J BRANDTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
5108 JERSEY RIDGE RD, STE B, DAVENPORT, IA 52807
(563) 355-0437
(563) 355-2742
Mailing address
5108 JERSEY RIDGE RD, STE B, DAVENPORT, IA 52807
(563) 355-0437
(563) 355-2742
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
06736
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207837
—
IA
Enumeration date
03/30/2006
Last updated
07/08/2007
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