Individual
DR. BRIAN B PENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3549 11TH AVE, COUNCIL BLUFFS, IA 51501-5641
(712) 328-0708
(712) 328-8991
Mailing address
3549 11TH AVE, COUNCIL BLUFFS, IA 51501-5641
(712) 328-0708
(712) 328-8991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08708
IA
122300000X
Dentist
6888
NE
Other
Enumeration date
06/03/2010
Last updated
06/23/2010
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