Individual
DR. ALLYSON CHRISTINE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
69 OLD TEMPLE HILL RD, VAILS GATE, NY 12584
(845) 562-2063
Mailing address
PO BOX 512, STORMVILLE, NY 12582-0512
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063069
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
05/14/2024
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