Individual
DR. ALEXANDRA V BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
392 SALEM TPK, BOZRAH, CT 06334
(860) 886-5576
(860) 885-1379
Mailing address
392 SALEM TPK, BOZRAH, CT 06334
(860) 886-5576
(860) 885-1379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
LD00076
RI
1223P0221X
Pediatric Dentistry
Primary
11364
CT
Other
Enumeration date
06/26/2012
Last updated
08/24/2015
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