Individual
DR. GARRETT T BRENNAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 447-3216
(860) 701-6019
Mailing address
190 HEMPSTEAD ST, NEW LONDON, CT 06320-6248
(860) 447-3216
(860) 701-6019
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5990
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059905
—
CT
Enumeration date
10/18/2005
Last updated
07/09/2007
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