Individual
COLE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
(920) 901-1450
Mailing address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002305-15
WI
Other
Enumeration date
03/26/2020
Last updated
08/27/2021
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