Individual
DR. STEVEN MARC BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
198 N MAIN ST, RUTLAND, VT 05701-3020
(802) 773-2701
Mailing address
198 N MAIN ST, RUTLAND, VT 05701-3020
(802) 773-2701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160002120
VT
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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