Individual
DR. BRIAN A. BRENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
608 E PINE ST, GRAHAM, NC 27253-3233
(336) 227-2202
(336) 227-2202
Mailing address
608 E PINE ST, GRAHAM, NC 27253-3233
(336) 227-2202
(336) 227-2202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991084
—
NC
Enumeration date
09/16/2006
Last updated
07/08/2007
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