Individual
DR. JONATHAN PIERCE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1515 SAINT FRANCIS AVE STE 145, SHAKOPEE, MN 55379-4307
(952) 496-1538
Mailing address
3100 W LAKE ST UNIT 734, MINNEAPOLIS, MN 55416-2183
(630) 464-0296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14971
MN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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