Individual
BRENDEN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
GREAT LAKES BAY HEALTH CENTERS, 200 N CALEDONIA, OWOSSO, MI 48867
(989) 720-4822
(989) 921-4959
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 720-4188
(989) 921-4959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601826
MI
Other
Enumeration date
04/24/2023
Last updated
08/15/2023
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