Organization
CHARLES P. BRENNER, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P BRENNER D.D.S. (PRESIDENT)
(410) 749-0133
Entity
Organization
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 749-0133
(410) 749-0284
Mailing address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 749-0133
(410) 749-0284
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000975731
—
DE
Enumeration date
01/17/2007
Last updated
08/22/2020
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