Individual
DR. MARK A BREINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5520 PARK AVE, STE. 301, TRUMBULL, CT 06611-3463
(203) 371-0300
(203) 365-8479
Mailing address
5520 PARK AVE, STE. 301, TRUMBULL, CT 06611-3463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT4359
CT
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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