Individual
GINNY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W MORELAND BLVD STE 204, WAUKESHA, WI 53188-2483
(651) 271-2189
Mailing address
1283 COUNTY ROAD A, NEW RICHMOND, WI 54017-6947
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11395-16
WI
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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