Organization
COREY J BRENNER DDS PLLC
Active
Other names
Rockford Dentalcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY JAMES BRENNER DDS (OWNER)
(763) 477-5794
Entity
Organization
Contact information
Practice address
9000 WALNUT ST, BOX 236, ROCKFORD, MN 55373-0236
(763) 477-5794
(763) 477-4784
Mailing address
8900 WALNUT ST SUITE 450 BOX 236, ROCKFORD, MN 55373-0236
(763) 477-5794
(763) 477-4784
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D11525
MN
Other
Enumeration date
09/24/2008
Last updated
06/19/2019
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