Individual
DR. JOSEPH J BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
697 GRAND AVE, HARTFORD, WI 53027-2207
(262) 673-5449
(262) 560-0903
Mailing address
697 GRAND AVE, HARTFORD, WI 53027-2207
(262) 673-5449
(262) 560-0903
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5000878
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33542400
—
WI
Enumeration date
04/16/2007
Last updated
05/27/2011
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