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Individual

DR. TRACEY LYNN BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
708 WARWICK AVE, WARWICK, RI 02888-2670
(401) 785-2111
Mailing address
48 TEA HOUSE LN, WARWICK, RI 02889-6420
(401) 821-6500
(401) 823-8270

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2603
RI

Other

Enumeration date
04/16/2007
Last updated
04/20/2009
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