Individual
BRENDAN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5756 PACIFIC AVE, STOCKTON, CA 95207-5160
(209) 701-3171
Mailing address
600 HARTZ AVE UNIT 113, DANVILLE, CA 94526-3975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
113441
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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