Individual
DR. BRYAN THOMAS BRETTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
400 2ND ST S STE 230, HUDSON, WI 54016-1980
(715) 377-2155
(715) 377-2157
Mailing address
400 2ND ST S STE 230, HUDSON, WI 54016-1980
(715) 377-2155
(715) 377-2157
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1978
ND
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6095015
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D11644
MN
Other
Enumeration date
12/18/2006
Last updated
10/24/2007
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