Individual
BRENT JEFFREY MOEGGENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
226 N STATE STREET, ALMA, MI 48801
(989) 463-5392
(989) 463-3973
Mailing address
226 N STATE STREET, ALMA, MI 48801
(989) 463-5392
(989) 463-3973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D18900
MI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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