Individual
KENDALL JAY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
950 UNIVERSITY DR, #101 LONGHORN DENTAL GEORGETOWN, GEORGETOWN, TX 78626
(512) 930-5930
(512) 869-0276
Mailing address
7517 CAMERON ROAD, SUITE 107 LONGHORN DENTAL ASSOCIATES PC, AUSTIN, TX 78752
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14468
TX
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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