Individual
BRENDAN THOMAS SIEFKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 W MAIN ST, OTTOVILLE, OH 45876-8763
(419) 453-3000
Mailing address
125 W MAIN ST, PO BOX 250, OTTOVILLE, OH 45876
(419) 453-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027913
OH
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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