| Brennan Dental Group | |
|
330 Park Pl Mishawaka IN 46545-3555 | |
| (574) 259-9956 | |
| Not Available |
| Full Name | Brennan Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Park Pl, Mishawaka, Indiana |
| Authorized Official Name and Position | Cassandra Teutsch (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brennan Dental Group 330 Park Pl Mishawaka IN 46545-3555 Ph: (574) 259-9956 | Brennan Dental Group 330 Park Pl Mishawaka IN 46545-3555 Ph: (574) 259-9956 |
| NPI Number | 1205372356 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205372356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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