Organization
JORDAN AND KEGAN BRENNER, DDS, PLLC
Active
Other names
AvantGarde Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEGAN BRENNER DDS (OWNER, DENTIST)
(307) 286-3956
Entity
Organization
Contact information
Practice address
1169 HILLTOP PKWY, STEAMBOAT SPRINGS, CO 80487-3173
(307) 286-3956
Mailing address
110 W 5TH AVE, CHEYENNE, WY 82001-1347
(307) 286-3956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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