Organization
JORDAN BRENNER DDS, PLLC
Active
Other names
Bright 32
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN MCDONALD BRENNER D.D.S. (DENTIST)
(563) 271-9529
Entity
Organization
Contact information
Practice address
1359 N 205TH ST, SUITE A, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Mailing address
1359 N 205TH ST, SUITE A, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60291757
WA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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