Individual
DR. JEFFREY R BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
769 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3948
(215) 357-9199
Mailing address
769 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3948
(215) 357-9199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 028089L
PA
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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