Individual
DR. ROSS BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1135 W UNIVERSITY AVE, GEORGETOWN, TX 78628-5313
(317) 289-1809
Mailing address
325 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1045
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34682
TX
Other
Enumeration date
03/13/2017
Last updated
01/07/2019
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