Organization
DR. BRUCE E. BRANDSNESS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ERIC BRANDSNESS D.D.S. (OWNER)
(952) 546-2564
Entity
Organization
Contact information
Practice address
2267 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-2718
(952) 546-2564
Mailing address
2267 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-2718
(952) 546-2564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10016
MN
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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