Organization
BARRY I BRENNER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY I BRENNER DDS (PRESIDENT)
(215) 389-7982
Entity
Organization
Contact information
Practice address
2340 SOUTH 12TH STREET, PHILADELPHIA, PA 19148
(215) 389-7982
(215) 389-7966
Mailing address
2340 SOUTH 12TH STREET, PHILADELPHIA, PA 19148
(215) 389-7982
(215) 389-7966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023108L
PA
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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