Individual
DR. ELIZABETH ICENHOWER-BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1408 EGYPT RD, OAKS, PA 19456-0402
(610) 666-5118
(610) 666-5088
Mailing address
1408 EGYPT RD, P.O. BOX 402, OAKS, PA 19456-0402
(610) 666-5118
(610) 666-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL-030005-L
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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