Individual
DR. CRAIG J BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4165 SHORELINE DR, SUITE 30, SPRING PARK, MN 55384-9659
(952) 471-0047
(952) 417-8665
Mailing address
4165 SHORELINE DR, SUITE 30, SPRING PARK, MN 55384-9659
(952) 471-0047
(952) 417-8665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9418
MN
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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