Individual
DR. MYRA J BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24 SHIPYARD DR STE 203, HINGHAM, MA 02043-1673
(781) 361-3000
Mailing address
PO BOX 51489, BOSTON, MA 02205-1489
(781) 361-3000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19902
MA
Other
Enumeration date
09/26/2008
Last updated
04/11/2012
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