Individual
CONNOR STEVEN BRESNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4041 PARNELL AVE, FORT WAYNE, IN 46805-1413
(214) 578-4387
Mailing address
256 W HAMILTON RD N, FORT WAYNE, IN 46814-0107
(214) 578-4387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014542A
IN
Other
Enumeration date
03/28/2023
Last updated
08/14/2024
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