Organization
JACK H. BRENNER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK H BRENNER DDS (OWNER)
(305) 661-5360
Entity
Organization
Contact information
Practice address
6280 SUNSET DRIVE, SUITE 401, SOUTH MIAMI, FL 33143
(305) 661-5360
Mailing address
10510 SW 99 STREET, MIAMI, FL 33176
(305) 274-3530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3296
FL
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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