Individual
DR. JORDAN M BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1359 N 205TH ST, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Mailing address
1359 N 205TH ST, SHORELINE, WA 98133-3215
(206) 533-9693
(206) 533-9691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09972
IA
122300000X
Dentist
Primary
DE60291757
WA
Other
Enumeration date
07/30/2012
Last updated
11/28/2023
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