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Organization

BRUNET DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA L BRUNET DDS (PRESIDENT OF BUISNESS)
(419) 678-3170
Entity
Organization

Contact information

Practice address
702 W SYCAMORE ST, COLDWATER, OH 45828-1623
(419) 678-3170
(419) 678-3919
Mailing address
702 W SYCAMORE ST, COLDWATER, OH 45828-1623
(419) 678-3170

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124683073
NPI TYPE I
OH
Enumeration date
03/31/2022
Last updated
03/31/2022
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