Individual
DR. BRENTON DAVID HABECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
529 N GRAND ST, SCHOOLCRAFT, MI 49087-9128
(269) 679-5584
Mailing address
15032 S 8TH ST, SCHOOLCRAFT, MI 49087-9484
(269) 744-0093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021218
MI
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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