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Organization

BRENNAN FAMILY & COSMETIC DENTISTRY, PC

Active
Other names
Brennan Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY GARCIA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization

Contact information

Practice address
3152 PEREGRINE DR NE STE 200, GRAND RAPIDS, MI 49525-9723
(616) 447-3660
(616) 447-7660
Mailing address
3152 PEREGRINE DR NE STE 200, GRAND RAPIDS, MI 49525-9723
(616) 447-3660
(616) 447-7660

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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