| Daniel Brengman Dds, Pa | |
|
3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 | |
| (651) 905-9090 | |
| Not Available |
| Full Name | Daniel Brengman Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3825 Cedar Grove Pkwy, Eagan, Minnesota |
| Authorized Official Name and Position | Daniel Brengman (OWNER -PRESIDENT) |
| Authorized Official Contact | 6519059090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Brengman Dds, Pa 3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 Ph: (651) 905-9090 | Daniel Brengman Dds, Pa 3825 Cedar Grove Pkwy Suite 1101 Eagan MN 55122-1419 Ph: (651) 905-9090 |
| NPI Number | 1306051230 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306051230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9954 (Minnesota) | Primary |
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