Individual
DR. DAVID J. BRUNNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10345 N PORT WASHINGTON RD, SUITE 100, MEQUON, WI 53092-5762
(262) 240-1200
Mailing address
10345 N PORT WASHINGTON RD, SUITE 100, MEQUON, WI 53092-5762
(262) 240-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000881
WI
Other
Enumeration date
10/02/2005
Last updated
07/08/2007
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